HomeMy WebLinkAbout609 JANSEN DR - APPLICATIONS - 5/14/2014COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building Y jtJ
BUILDING PERMIT APPLICATION //(/.<35
APPLICATION NUMBER T / 1 iOd�l`'t APPLICATION DATE
Job Site Address 609 Jansen Drive Unit #
PROPERTY OWNER INFO: (All owner information is required— it is not optional) Phone # 970-631-8415
Last name White First Name Mike Middle
Street Address 609 Jansen Drive City Fort Collins State CO Zip 80525
CONTRACTOR INFO: Company Name T-N-T IIC Contractor Phone # 970-663-2868
Lic Holder Name Tad Bjorlie City of Fort Collins License # Supervisor Cert #
Mailing Address 1448 Antero Dr city Loveland
LEGAL INFO:
Subdivision/PUD
State CO Zip 80538
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1� Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces
Air Conditioning: YeGon Energy info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck wBlower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas1-1 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 12265
Description of Work:
Install new patio cover, gabled. with one T wall using a louvered system. r
Contact Name & Phone # of JOBSITE SUPERVISOR: Tad Bjorlie, 970-663-2868
Subcontractor Info:
Electrical
Framer
Solar
Roofing
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 Collins ordinan s and state I s regulating building construction.
Applicant Signature Print Name Tad Bjorlie Phone 970-663-2868
Distribution: White — Office Yellow — Applicant Pink —VWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE