HomeMy WebLinkAbout2600 W Stuart St - Applications/Patio Cover Or Sun Shade - 04/06/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 1 C ) APPLICATION DATE I CP I ��
Job Site Address 2f" Wes-t 1S*V0Vr ' 3+r EZ - Unit # ty/4
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9"70. 231 • Q336
Last name TI IIcma St.
Name Jo� In Middle p�c-
Street Address 2 OO V'6-s+ S-fuc r^'i-- S : City �y-+ Qv<<IhS State `O Zip (JD��
CONTRACTOR INFO: Company Name Mali IototRr s. Contractor Phone # 972.691 -330o
Lic Holder Name C�Dei "' ctr iolck City of Fort Collins License # 2 2 �+Suupervisor Cert #3b
Mailing Address � x 2 City 4- ( 4— ���lirl i State LSD Zip �SZ2_
LEGAL INFO:
Subdivision/PUD LO i ,35 Yj oW'1 T:Qr'h Filing # 0� Lot #� Block #__a_ Lot Sq Ft 7475
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) I1 %Z Total Garage Sq Ft 440
Residential Sq Ft I I %Z Comm'I Sq Ftt440k # of Stories Z- Bldg Height -Z( # Dwelling Units I_
1 s' Floor Sq Ft 907 2nd Floor Sq Ft 2-5-7 3rd Floor Sq Ft Unfiished Bsmt Sq Ft NIA -
Finished Bsmt Sq Ft # of Bedrooms Z— # of Full Baths 3/a Baths /z Baths "" # of Fireplaces 1
Air Conditioning: Yes No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp [:]Other
Value of Construction (including labor, material & profit) $ -�f� (]07
Description of Work: � W (01 X IR1 woouPv-.- pf:!�O/ot z �O Cover Do
Contact Name & Phone # of JOBSITE SUPERVISOR: ��Of; Yv ICf��O IA 970.69 1 • �
Subcontractor Info:
Electrical Mechanical
Framer Roofing
Solar Other
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo Ilins ord' ances and statelaws regulating building construction.
I 70. 3 00
Applicant Signature /���� �_ Print Name. ��to I� Phone % U/
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE