HomeMy WebLinkAbout612 LOUISE LN - APPLICATIONS - 2/8/2018City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ `I %ww.fcgovcorWbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER b 1730n n4 APPLICATION DATE Z
Job Site Address612 Louise LN Unit #
PROPERTY OWNER INFO (Ali owner information is required - it is not optional) Phone # 1-240-479-1424
Last name Nielsen First NameMark & Stephanie Middle
Street Address 612 Louise LN C,tvFort Collins StateCO ZIP80521
CONTRACTOR INFO Company Name Detailed Building Solutions LLC Contractor Phone #(970) 231-8348
Lic Holder Name Matthew Dworak
Mailing Address 2909 Oxford CT
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License # D2-178 Supervisor Cart # 4060-D2
C,tyFort Collins state CO ZIP80525
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO. Total Budding Sq Ft (not including basement) 305 sq ft. Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
18t Floor Sq Ft
2nd Floor Sq Ft
# of Stones Bldg Height # Dwelling Units
3nd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths 1/2 Baths # of Fireplaces
Air Conditioning YerNoo Energy info ( Circle appropriate choice ) 1 ComCheck ❑ 2 ResCheck w/Air Sealing ❑
3 ResCheck w/Blower Door El Simulated Performance Altemative❑ 5 Prescriptive w/Air Sealing ❑ 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO
Water Tap Size Sewer Tap Size Metered Yes ❑Nol:l Temp Pedestal Yes❑ No ❑
Type of Heat ❑ Gas 11Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 35,000
Descri tion of Work
Kitc9en remodel o include the removal of structural wing wall and expand l c en
area into current dinning area Appliances will move accord to new drawings,
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Contact Name & Phone # of JOBSITE SUPERVISOR Matthew Dworak
Subcontractor Info,
Electrical Winslow Electric Co
Framer Detailed Buddhg Solutions LLC
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing Independent Plumbing Solutions, Inc
Fireplace
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 laws regulating building construction Applicant Signature y^A Pnnt Name Phone t G
1Q-Z3 r-c.30
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE