HomeMy WebLinkAbout825 E LAUREL ST - APPLICATIONS - 2/29/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
,a www.fcgov.com/building
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER ~ lJ u (J / -3, APPLICATION DATE "- —'-9-e d
Job Site Address f�;ZS 6, LAoAet- c T , M (W.-M✓S Uninit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #-Il�l'c�( o
Last Name K (E L--Ptt L p 1 First Name R&Middle .
Street Address 2.331 FL-iE1'AWQ1 DR CitState J�D Zip
CONTRACTOR INFO: Company Nm''eQQ _ Si�IY�� f 0 it) Contractor Phone # 976- 6-i8` Jr%0D
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address <S�"6 City.
LEGAL INFO:
Subdjyision/PUD
CONSTRUCTION INFO:
State
Zip_
Filing # - Lot # Block # Lot Sq
Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1s' Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
# of Full Baths
Total Garage Sq Ft A
# of Stories Bldg Height # Dwelling Units
_ Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
_ % Baths /z Baths # of Fireplaces U
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
Water Tap Size, Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: Jdas *lec�tric6A Electric Main Breaker Size (Res dential only): ?d 150 Amp or Less 11200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Description of Work:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Applicant: I hereby acknowledge th6t 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. / p�
Applicant Signature LI!7k Print Name EL Phoneqlo- 6V —S-Om
F 1-Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE