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HomeMy WebLinkAbout3349 Dunbar Ave - Applications/Patio Cover Or Sun Shade - 06/06/2012City }off I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES FOIr` ColtIns 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fegov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER _'>0t5a�4 ( S APPLICATION DATE I I Job Site Address 1>0i4$ Aiz- AVE Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last name 5©gs First Name r-)i-1/rf- Middle Street Address 3 3 +Ry K BAT- A —VI_ City F. C . State Co zip CONTRACTOR INFO: Company Name I bE C0n.(5T(2-.'C7 r r9-t'( Contractor Phone # qTo , fZ0, OHO Lic Holder Name T)AR-6-l4 HA-YS City of Fort Collins License # Supervisor Cert # Mailing Address'4V ( I WWI( 7R-A(Z-5 LA-*4V City F, c . State &e> zip SO 5-Z_f LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft_ ,j� p�- CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 4t0 `t' CpTrVoUTotal Garage Sq Ft Residential Sq Ft Comm'I Sq Ft — # of Stories Bldg Height M t -'0 % Dwelling Units 1s' Floor Sq Ft '- Finished Bsmt Sq Ft 21 Floor Sq Ft 3'd Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/< Baths — '/2 Baths = # of Fireplaces = Air Conditioning: Yes No Energy info: ( Circ1ya1*joriate 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 # List appropriate option #s UTILITIES INFO: 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) $ "I' c�A 4 LP Description of Work: 14(o S Q T (. Poo( O Cry V'kj1_ Contact Name & Phone # of JOBSITE SUPERVISOR: D "-A-Ys Subcontractor Info: Electrical Mechanical Plumbing Framer ( IA- - Roofing if �'E C6*t S T- Concrete OF Cow ST, Fireplace — Solar i Other -" Other ^- 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 Ilins ordinances and state laws regulating building construction. l r �,/ Applicant Signature Print Name Drn''T S Phone 910'-2o• 06-Da Distribut n: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE