HomeMy WebLinkAbout723 Laporte Ave - Applications/Addition or Alteration - 03/21/2007BUILDING PERMITS &INSPECTIONS DIVISION
fZ P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgoV.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER v/ �� tL/ APPLICATION DATE 3 y-:?- G r O f
Job Site Address %2';,� Unfit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # ' (:/ o
Last Name 1 1�J�ii 5 First Name Middle
Street Address PO z7t!�>!�]5 City' 1- C�� State, Zip_EQ —7
CONTRACTOR INFO: Company Name''�-T�(�IG#t-I-� i it^ � Contractor Phone # -7-0- � 20go� /
Lic. Holder Name �,�t�>&4- City of Fort Collins License # ._ ?� Supervisor Cert #
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Mailing Address Rcf- 1�� City ("Oi--O►-I,.,atate
LEGAL INFO:
Subdivision/PUD
Filing # Lot # 8
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Zip
Block #-g!C2L Lot Sq Ft 67e nin
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2rd Floor Sq Ft
Unfinished Bsmt Sq Ft
# of Full Baths 1/4 Baths '/z Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
Finished Bsmt Sq Ft
�7
# of Fireplaces
2. ResCheck w/Air Sealing
m
6. Prescriptive w/Blower Door
Water Tap Size Sewer Tap Size Metered: 9or No Temp. Pedestal: Yes r No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only):X 50 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 33; Q
Description
t-
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing-4s�DKL_t1�}_
Framer
Applicant: I hereby ackm
contained herein and City
Applicant Signatu
Roofing
we read
Concrete\ �, -- Other
GOtiISCQ-t�<*-4
:ion and state that the above information is correct and agree to comply with all requirements
laws regulating building construction.
- Office Yellow -Applicant Pink - WWW/Stormwater
THIS APOLICATION EXPIRES 90 DAYS FROM APPLICATION DATE