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HomeMy WebLinkAbout316 N Loomis Ave - Applications/Addition or Alteration - 02/23/2018Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fegov.com/building _J /`JI✓\ BUILDING PERMIT APPLICATION APPLICATION NUMBER E ' v V ` APPLICATION DATE Z' -5 Job Site Address 31(0 /VCV-A Z_to/1!/S /i'1/P. c- Unit # PROPERTY OyVNER INFO, (All owner information is required -it is not optional) Phone # 9 b /'-"► — M I B Last name First Name Middle //��pp�� Street Address �1 ll 'ry S Nf CiL.L 9— City StateW Zip CONTRACTOR INFO: Company N�ame� rl� LUII l�ltt I awc 171 E [w6contractor Phone # Lic Holder Name I VIIrC L1 (�L�-Lrtt��� City of Fort Collins License #D41V41 Supervisor Cert # Mailing Address 25So. // e�a>t�� Dr�jUL City i;✓LC��^S State Zip 5z� LEGAL INFO: 1)k!/T E Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) '2610 56 Total Garage Sq Ftanot Residential Sq Ft 2A C Comm] Sq Ft # of Stories_ Bldg Height )u # Dwelling Units 1s' Floor Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft U # of Bedrooms 0 # of Full Baths 0 -/. Baths 0 % Baths ID # of Fireplaces Air Conditioning: Ye Go 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 Doom City of Fort Collins Stock Plan # List appropriate option UTILITIES INFO: ►.I Water Tap Size , {{ `1/A Sewer Tap Size All n Metered: Yes ©No❑ Temp. Pedestal Yes[—] NoFK1 Type of Heat: [4Gas ❑Electricpvr Electric Main Breaker Size (Residential only) �150 Amp or Less 1-1200 Amp Other Uim-riValue of Construction (including labor, material & profit) $ } 7777 "�96,000 _,,,,,000 Description of Subcontractor Info: Electrical �A�� - - L-L 1/Mechanical I � b�W1"ff a 0O)&cYl _ Plumbing Framer sib` Roofing( ;v A*fz i 2rw fAr�Cpncrete Fireplace Solar Other Other Other Applicant: I hereby acknowledge that I have read this plicati n and tate that the above information is correct and agre to comply with all requirements contained herein and City of Fort CpJin rdinance n a aws r ulating building constructio Applicant Signatu Print Name c Q Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater (/ THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE j' fCV 11n11 SUE- ¢ 3We�INV- Cca-4 o73, w AA/