HomeMy WebLinkAbout633 Stover St - Applications/Garage - 07/17/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: Z21-6760
www.fcgov.com/building
CilyofFort Collins BUILDING PERMIT APPLICATION
O _7l/ "[ 7L
APPLICATION NUMBER 1p APPLICATION DATE / — ` ry
Job Site Address 631 5AoLre� ar�• Unit #
PROPERTY OWNER INFO: (All owner information is required — it is
not optional) Phone #
Last Name 7CkY15 !3 C ` C First Name Middle
(0&3 S�� c� t . City F�-C � l lirl_s State Zip�/�
Street Address // ,7
CONTRACTOR INFO: Company Name
��i c deign 0 toN � Contractor Phone #
Lic. Holder Name (�i l ( TCey nes /City of Fort Collins License # Supervisor Cart # z0��
ecYY��• SO. J�mrw�0% ) VY` City! '�d/�/r/S State_Zip �5�
Mailing AddressJ�-
LEGALLEGALINFO:
Block # /� (0Lot Sq Ft `00Subdiv
iINFO: UD
Filing # Lot #
'^
Y\
CONSTRUCTION INFO:
Total Building Sq Ft (not including basement)
Total Garage Sq Ft . S 7(p
Residential Sq Ft
Comm'I Sq Ft # of Stories Bldg Height
# Dwelling Units
M
1st Floor Sq Ft
2nd Floor Sq Ft Unfinished Bsmt Sq Ft
r
Finished Bsmt Sq Ft
# of Bedrooms
# of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: Yes
No Energy info: (Circle appropriate choice) 1. ComCheck
2. ResCheck w/Air Sealing
K,
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
List appropriate option
Temp. Pedestal: Yes or
Metered: Yes or(�o No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
oa /b .7
Value of Construction (including labor, material &profit) S _ � !� t`
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: / `/ %vnPS SC07 "�3y%
Subcontractor Info:
(C
Electrical .s N 14 Mechanical — Plumbing
F
Roofing
Concrete
ramer
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 Signature s `�► �iKP�— Print Name //� / GrA Phone !(07 59W
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE