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HomeMy WebLinkAbout1300 Stover St - Applications/Addition or Alteration - 07/16/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Forrt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER �.7�/�/`-� IDS APPLICATION DATE ` �V �8 Job Site Address Unit # PROPERTY OWNER INFO: (All owner Information is required- It Is not optional) Phone # CS Last name �f A' pL /� First k�4-<- Middle Street Address �.Yt� O —Name C -rV �iCity / 4 t_ % __-1 State Ly Zip 5 '� CONTRACTOR INFO: Company Name Contractor Phone # Lic Holder Name �l \''T//--�,,�Oity of Fort Collins License #--i Supervisor Cert # =State�Zip Mailing Address ©2��- )v 27&7City LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq 1 s' Floor Sq Ft Finished Bsmt Sq Ft Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2"d Floor Sq Ft # of Bedrooms # of Stories Bldg Height # Dwelling Units _ 31d Floor Sq Ft Unfiished Bsmt Sq Ft _ # of Full Baths '/. Baths '/z Baths # of Fireplaces Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 4. Simulated Performance Alternative 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) $ 2 Z: tPC� Description of Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other vt.s 2_e'e Plumbing Fireplace Other Applicant: I hereby ackno I read this ap ation and state that the above information is correct and agree to comply with all requirements contained herein a y of Fort C ' s ordinances a state laws regulating building construction. a� Applicant Signature Print Na a hone Distribtatie hite-Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE