HomeMy WebLinkAbout1100 Newsom St - Applications/Addition or Alteration - 09/11/2013City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 13 I"30 1 1 0 APPLICATION DATE `- I I^ 13
Job Site Address 1100 Newsom St. Fort Collins, CO Unit #
PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone # 412-608-4226
Last name Keen First Name Stephen Middle
Street Address 1100 Newsom St. city Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name HlghCraft Builders Contractor Phone # 970-472-8100
Lic Holder Name Dwight Sailer
City of Fort Collins License # D-597 Supervisor Cart # 1288-D1
Mailing Address 429 S. Howes St City Fort Collins
LEGAL INFO:
Subdivision/PUD#12027 - University Acres Filing #.
CONSTRUCTION INFO: Total Building Sq Ft (not including
State CO Zip 80521
Lot # 202 Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
Is' Floor Sq Ft
2nd Floor Sq Ft
3" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths Y: Baths # of Fireplaces
Air Conditioning: YeUNou 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 #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes 1]NoE1 Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas DElectric Electric Main Breaker Size (Residential only) E-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ R 31 Soo
I
Description of Work:
Kitchen remodel - New gas line for range, new circuit for 2 new toe kick heaters
New door to replace window (using existing header) 41 G 15 4-4-
Contact Name & Phone # of JOBSITE SUPERVISOR: Scott Fetters 970-566-1242
Subcontractor Info:
Electrical Front Range Electric Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
Plumbing Patrick Plumbing & Heating
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 ` kFFort Collins ordinances and state laws regulating building construction.
Applicant Signature & _ Print Name Jeremy Kibler Phone 970-472-8100
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE