HomeMy WebLinkAbout3701 Le Fever Dr - Applications/Patio Cover Or Sun Shade - 02/20/2014 (2)ityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FC6rt
Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 9 ` I D 26 APPLICATION DATE
Job Site Address nit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (; oo 2 9 g ' 7270
Last name _")/ TYN��AV(dr-� � First Name Middle
Street Address J40M /` Y%Mama&*� &?"e- City :�,e�,zU"— State Go Zip a202
CONTRACTOR INFO: Company Name 7-B-D Contractor Phone #
Lic Holder Name
Mailing Address
LEGAL INFO:
City of Fort Collins License #.
City
Supervisor Cert #
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) f7 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths '/2 Baths # of Fireplaces
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? n '
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical
Framer Roofing
Solar Other
Concrete
Other
A
Plumbing
Fireplace
Other
Applicant: I hereby ackn ge that I have read is application and state that the above information is correct and agree to comply with all requirements
contained herein and ' y of Pbrt C Ilins ordiri c and state laws regulating building constr cton.
Applicant Signature Print Name �'I Pii�t % / /c�GKGfiI P h o n ..0 Y'Lg'a7Y'T
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE