HomeMy WebLinkAbout1809 LAPORTE AVE - APPLICATIONS - 9/24/2018BUILDING PERMITS & INSPECTIONS DIVISION
/ P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER `��� I APPLICATION DATE I lZ
Job Site Address 1 key Wdire AveN✓e,
Unitq#
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
+� Phone # 1 i0 .37 4
Last Name `� JC- �4 � P e LLCI First Name ,)pp 0AWt"` Middle //���
Street Address 1%2s (n/.t �� i/4N� City � Ci(ii4^ State Zip (S
CONTRACTOR INFO: Company Name V/ttle(Adocn"4 S-P/1vitp Contractor Phone # 97 a NP Z-
Lic. Holder Name I/'/tt tT-(,vA2.t City of Fort Collins License # & Cc Supervisor Cert # ��
Mailing Address I �' S�A� S� LtZ°L/ City (vim ��'^" State Zip
LEGAL INFO:
Subdivision/PU
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths s/ Baths '/z Baths # of Fireplaces
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
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) $ Rgi31�v°
Description of
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Contact Name &Phone # of JOBSITE SUPERVISOR:
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SubcontractorInfo: t.l `1r1'tl t
Electrical rrl¢SFC(4o/tL F(yctAc Mechanical ./ �Ne, Plumbing r;laL-%NN ✓�l�l
Framer �IfQ� Roofing �/t'� Concrete ulvei 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 Fgrt Collins ordinances and state laws regulating building construction. /��qy��� c�
Applicant Signature jJ Print Name ���/IJ^"" ""`� Phone ��o IP Z ��%�
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE