HomeMy WebLinkAbout2216 Loyola Ave - Applications/Patio Cover or Sunshade - 05/21/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rtCollins 281 N College Ave Fort Collins, CO 80522 0580 Phone 970 221 6760
www fcgov com/budding
BUILDING PERMIT APPLICATION
-I aAPPLICATION NUMBER 10 D .3 APPLICATION DATE S I, I lie
cJob_Slte-Add
Unit #
PROPERTY OWNER INFO All owner information is required - it is not optional) Phone #
Last name Ir \ First Name � & \`C/1/Y �;r� Middle
Street Address 6� City C& Y 1.{ Wi pState �� _ Zip
CONTRACTOR INFO Company Name 1 ontractor Phone #
Lic Holder Names �—City of Fort Collins L cense #q_)".�Supervisor Cert #
Mailing Addresses Y'`oml!ZK� 41 City ��_Q State Zip
LEGAL INFO
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Budding Sq Ft (not including basement) Total Garage Sq Ft
\Residential Sq Ft 1 Comm I Sq
1 t Floor Sq Ft
Finished Bsmt Sq Ft
2 ° Floor Sq Ft
# of Stones Bldg Height # Dwelling Units
3 ° Floor Sq Ft
# of Bedrooms # of Full Baths
% Baths
Unfiished Bsmt Sq Ft _
'/2 Baths # of Fireplaces
Air Conditioning Yes No Energy info ( Circle appropnate 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
Construction (including labor -material & profit)
,D6..k6p_ i cn of Work 5C7-%
Contact Name & Phone # of JOBSITE SUPERVISOR,hc�
Subcontractor Info
n
Electrical Cyr' l s� {`v Mechanical
Framer t t -V Roofing S Concrete
Solar
Other
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 herei ity of Fort dinances and state laws regulating building construction
/
Applicant Sign re Print Name\\1'�U� fJ �� Phone
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE