Loading...
HomeMy WebLinkAbout632 S LOOMIS AVE - APPLICATIONS - 4/16/2018City of Fort Collins J COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 4wwAcgov corn/building BUILDING PERMIT APPLICATION APPLICATION NUMBER aI Z=:j�2 !� APPLICATION DATE 04/16/2018 Job Site Address 632 Loomis Ave, Ft Collins Unit # PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # Last name Graber First Name Stephen Middle Street Address 632 Loomis Ave IQty�Fort Collins CONTRACTOR INFO: Company Name Complete Basement Systems State CO Zip 80521 Contractor Phone # 303-805-8751 Lic Holder Name Rodney Martin City of Fort Collins License # 106057 Supervisor Cert # Mailing Address 11795 E 45th Ave City Denver State CO Zip 80239 n LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm] Sq Ft # of Stories, Bldg Height # Dwelling Units 111 Floor Sq Ft 2nd Floor Sq Ft V Floor Sq Ft Unfiished Bsmt Sq Ft N Finished Bsmt Sq Ft # of Bedrooms # of Full Baths a '/< Baths '/z Baths # of Fireplaces Air Conditioning, YerNo0 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 it 9 Water Tap Size Sewer Tap Size Metered. Yes Nor7 Temp. Pedestal Yes© No Type of Heat Gas Electric Electric Main Breaker Size (Residential only) F150 Amp or Less 11 200 Amp DOther Value of Construction (including labor, material & profit) Description of Work: Foundation Stat 8,100 Contact Name & Phone # of JOBSITE SUPERVISOR: Edgar Moreno -Villarreal, Subcontractor Info: Electrical Framer. Solar rt Mechanical Plumbing Roofing Concrete," Fireplace 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 Signaturert'` Print Name Kayla Montez Phone 303-805-8751 Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE