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HomeMy WebLinkAbout2314 Laporte Ave - Applications/Patio Cover Or Sun Shade - 10/01/2007BUILDING PERMITS & INSPECTIONS DIVISION EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION 031 APPLICATION NUMBER �O �T IV� APPLICATION DATE Job Site Address "-f Z31 A LKnR-T PN - Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # tA Last Name Atrc�tflm �e+RLX\N- First Name �dayoe Middle Street Address 'Z ApoQ^z2 (tve City %kt t" CAWS State Cl!!� Zip �521 CONTRACTOR INFO: Company Name Lic. Holder Nam Mailing Address_ LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License # City Supervisor Cent # State Zip Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1Am-n Total Garage Sq Ft \p©p Residential Sq Ft Comm] Sq 1st Floor Sq Ft 2nd Floor Sq Ft # of Stories_ Bldg Height ? # Dwelling Units - Unfinished Bsmt Sq Ft5n Finished Bsmt Sq Ft _ # of Bedrooms Z # of Full Baths 2 % Baths / Baths Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing City of Fort Collins Stock Plan # UTILITIES INFO: List appropriate option # of Fireplaces b 2. ResCheck w/Air Sealing 6. Prescriptive w/Blower Door 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): k150 Amp or Less ❑ 200`gmp ❑ Other Value of Construction (including labor, material & profit) $ Description of Work: Re- S \ d O-Wt\ 't\ pt \ � 8 (!A V 2 � Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Mechanical Plumbing Framer Roofing Concrete Other Applicant: I hereby acknowledge that I ha ea this application and stale that the above information is correct and agree to comply with all requirements contained herein and Cit of Fort Colli dinance and state laws regulating building construction, i' Applicant Signature tint Name ��� a Yt��U� Phone 407 - 1-57.0 istribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE