HomeMy WebLinkAbout3407 Stover St - Applications/Addition or Alteration - 03/04/2014City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ ` www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER Si / D APPLICATION DATE 31yl 1 `f
Job Site Address 3 Ll a 7 �410 yer4 4� Unit #. 6 %JO
PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone # 3 / r% a 17 %
Last name L 1 �!C First Name4-3 f yy, 1 Middle
Street Address City State Zip sr<s Z S
CONTRACTOR INFO: Company NamejRb7t// CPJODd Contractor Phone # a y/ -�,y
Lic Holder Name K) M/f504V City of Fort Collins License # Supervisor Cent #
Mailing Address o�rJ (r�LC/y /t/l�//U Acity ;!�T e State ZipyD-S 6
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft _
# of'bedrooms
Filing # Lot # Block # Lot Sq Ft
Total Garage.Sq Ft
# of Stories Bldg Height # Dwelling Units_
31d Floor Sq Ft Unfiished Bsmt Sq Ft _
# 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 14. 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
u v
Value of Construction (including labor, material & profit) $ �� r
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Into:
Electrical
Framer
Roofing
Mechanical
Concrete
u+
Plumbing
Fireplace
Solar I Other Other Other
Applicant: I hereby ac wledge ha have read this lication and state that the above information is correct and agree to comply with all requirements
contained herein and ity of Fort ns ordina d state laws regulating building construction.
Applicant Signature ./1/l� Print Name �a 1SLJ{7J Phone(3�/ ���
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE