HomeMy WebLinkAbout7204 Laramie River Dr - Applications/Single Family New - 07/26/2007Job Site Address .7��y �D"' l �' 1LLo`f Df � unit �
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone # - 6 G g(D
Last Name t I ;J ` First Name �_ 0 lc �' / Middle
Street Address? t.Ua r "L �►7fY/� �r� Cityf6�: �-�-�� Stateicka_ZiP zs
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CONTRACTOR INFO: Company Name B/'^' �°`T� �,T (,�,�T Contractor Phone
Lic. Holder Name
City of Fort Collins License # Supervisor Cart #
City State Zip
Mailing Address ��
ALINFO: ► 3,,z "�,f
1' b l ILAL % L�I�A003
� J 7� Block # Lot Sq Ft �YR —
Subdivision/PUD� ' "� +1'��r' y'S Filing # L t #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft / r y� Comm'I Sq Ft # of Stories Z Bldg Height 3 � # Dwelling Units
Li Unfinished Bsmt Sq Ft ZZ) S� Finished Bsmt Sq Ft d
1st Floor Sq Ft ZZ-06 2nd Floor Sq Ft —
# of Bedrooms ! # of Full Baths % Baths �_ 1/2Baths �_ # of Fireplaces
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO: ��
Water Tap Size Metered: Yes or No Temp. Pedestal: 'e�or No
Sewer Tap Size
Type of Heat: UZGas ❑ Electric Electric Main Breaker Size (Residential only): IJ 150 Amp or Less X22000 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work: g N 7 g 46 Z
Contact Name &Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: ,y� '/ .,r�11����// '� Llys+ab
I az� {�. Mechanical At':Di g"w"' Plumbing
Electrical ��Dw
''L�L�p� � �'r� , Other
Framer t1V��/T ll�/r�'' Roofing iC a $ Concrete
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 Fo ollin ordinances and state laws regulating building construction. 7
Applicant Signature _
Print Name Phone
Distribution: Whit Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICA EXPIRES 90 DAYS FROM APPLICATION DATE