HomeMy WebLinkAbout1739 Feltleaf Ct - Applications/Patio Cover or Sunshade - 06/12/2019City of
wort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
%PPLICATION NUMBER: 9'91 6 1 Z7, APPLICATION DATE: � •(Z.l�
Job Site Address 1739 Feltleaf Ct Fort Collins, CO 80528
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Bratvold First Name Renee & Mike
Street Address 1739 Feltleaf Ct City Fort Collins
Phone # 970-223-6162 Email
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name TNT Ilc
License Holder Name Tad Bjorlie
LEGAL INFO:
Subdivision/PUD Filing # Lot #
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement)
Residential Sq Ft Commercial Sq Ft # of Stories
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Finished Basement Sq Ft # of Bedrooms
Baths % Baths # Fireplaces _
ENERGY INFORMATION: (CHECK ONE)
Unit#
Middle
State CO Zip 80528
LIC # CERT #
Block # Lot Sq Ft
Total Garage Sq. Ft.
Bldg Ht # of Dwelling Units
Unfinished Basement Sq Ft
—
# of Full Baths
COmCheck ❑ UA (ResCheck) ❑ SPA(Simulated Performance ❑ Prescriptive[]ERI(Energy Rating Index) ElAlternative)
Air Conditioning? YES ❑ NO ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes. please answer the following auestions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant❑ New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑
If yes, please describe:
Value of Construction (materials and labor): $
Description of Work: Install new deck 14'x16'; Install cover over deco
JOBSITE SUPERVISOR CONTACT INFO: Name Tad Bjorlie Phone 970-663-2868
SUBCONTRACTOR INFO: Electrical
Plumbing
Fireplace
Framing
Solar
Mechanical
Roofing
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's).
❑x
I do not know if an asbestos inspection has been conducted on this property.
An asbestos inspection has been conducted on this property on or about (enter date)
An asbestos inspection has not been conducted on this property.
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 Cityof Fort Collins ordinances and state laws regulating building construction.
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Applicant Signature M �„,�., Type or Print Name Tad Bjorlie
Phone # 970-663-2868
Email halli@tnthomeimprovements.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE