HomeMy WebLinkAbout7044 Avondale Rd - Applications/Patio Cover Or Sun Shade - 05/17/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER I (!JO`Z(� I � APPLICATION DATE} 1 1 %_CAI L le
Job Site Address7044 Avondale Rd Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #970-226-5982
Last name Gallegos First NameMergerat Middle
Street Address 7044 Avondale Rd city. Fort Collins State Co zip
CONTRACTOR INFO: Company Name T-N-T Ilc Contractor Phone # 970-663-2868
Lie Holder Name Tad Bjorlie
City of Fort Collins License # Supervisor Cert #
Mailing Address 1448 Antero Dr City Loveland State CO Zip 80538
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'] Sq Ft # of Stories Bldg Height # Dwelling Units
Is' Floor Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths '/2 Baths # of Fireplaces
Air Conditioning: YerNoH Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative❑ S. 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 ❑NoF] Temp. Pedestal Yes❑ No ❑
Type of Heat:11 Gas Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ 6200
Description of Work:
Install new 1 0x1 0 pergola attached to existing deck directly above existing ground posts.
Contact Name & Phone # of JOBSITE SUPERVISOR: Tad Bjorlie, 970-663-2868
Subcontractor Info:
Electrical
Framer Roofing
Solar Other
Mechanical
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 Fort CollA�®r!!� regulating building construction.
Applicant Signature Print Name Tad Bjorlie Phone 970-663-2868
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE