HomeMy WebLinkAbout3407 Stover St - Applications/Addition or Alteration - 11/27/2013 (2)City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION w
APPLICATION NUMBER ,2 130 G ` L! Lf APPLICATION DATE % 1122 % �/ 3
Job Site Address 3!o,7 Unit
PROPERTY OWNER INFO: (All owner information is required -it is not optional) P,h/one #
E 7
Last name L 2L L_ First Name RA') L F 1 Middle
Street Address 3°7(t r7 A",5-/l .f-,� City E� States Zip
CONTRACTOR INFO: Company Name (]RL W� i�� DD L-rt) U . Contractor Phone # 1 3 2- 7
Lic Holder Name So ✓u City of Fort Collins License # Supervisor Cert #
Mailing Address 6725 61st- Lo✓Ea/2 City State C Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not indiuding basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft.
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished 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
3. ResCheck w/Blower Door A. 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
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 (including16 labor, material & profit) $ Lo
Description of Work: SWS77A« IVAr) 5 Li ZVv,d S r�/j�wg�/✓��
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Fireplace
Solar Other Other Other
Applicant: I hereby acknowledge th I ave read this plication and state that the above information is correct and agree to comply with all requirements
contained herein and C' o Ili ordina nd state laws regulating building construction. Z
Applicant Signature Gj/L— Print Name �D��A 24) Phone 3,2
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
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