HomeMy WebLinkAbout825 Laporte Ave - Applications/Garage - 12/04/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER & lbbq 19 9 APPLICATION
Job Site Address BLS l_ckpi`K--t'P
T
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name Lbr A First Name h V (S n_ Middle S _
StreetAddressSaq�e T \r aq�p� - �t City EOrf C0W(Y1S StateQD . Zi&J�g
CONTRACTOR INFO: Company Name -TUC-&) ftq, Contractor Phone
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address wes ecuy-t-��ml� -t'� Citt� C-r,�i I i v, S State Om- Zip '7'b 5 --) q
LEGAL INFO: �7
Subdivision/PUD Lbdrn -t S Filing # Lot # b Block # 3-6111 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft to 6 �-t•
Residential Sq Ft Comm'I Sq
1 s' Floor Sq Ft
Finished Bsmt Sq Ft
2ud Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/< Baths 'Y2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info:( Circle appropriate 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 #s
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
Value of Construction (including labor, material & profit) $ gS I D-5�
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:.) G0.CO10 1rUlGlO rl1 C.-ID- -DI Lk- osS (p
Subcontractor Info:
Electrical Mechanical P.0 rl-2G`kC r�q l � � Plumbing TrwnC �l Lt, h-,br t tq
FramerjNrcbftud�er t)r��. Roofing?�Pf� rN4 Concrete Fireplace
Solar
Other
Other
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 ordinances and state laws regulating building construction.
Applicant Signature l � Print Name t-'tVzs Wa"r& PhoneGSb 5 LA94,yZ)—
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE