HomeMy WebLinkAbout1201 Newsom St - Applications/Addition or Alteration - 07/26/2005BUILDING PERMITS & INSPECTIONS DIVISION
EO. Box 580 - Fort Collins, CO 80522 0580 - Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
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APPLICATION NUMBER �21�l'lX APPLICATION DATE C �
Job Site Address 1201 Newsom Street Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # (970) 493-9208
Podell Elaine R.
Last Name Blume First Name W. Middle Jeffrey
Street Address 1201 Newsom Street City Fort Collins State CO zip 80524
CONTRACTOR INFO: Company Name Delehoy Construction, Inc.
Contractor Phone # (970) 226-0836
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address 3109 S. Taft Hill Rd. cityFort Collins
State CO zip 80526
LEGAL INFO:
Subdivision/PUD University Acres Filing # 5th Lot # 138 Block # Lot Sq Ft 10,574
(Addition)
CONSTRUCTION INFO: Total Be" Sq Ft (not including basement) 456 Total Garage Sq Ft
Residential Sq Ft 456
131 Floor Sq Ft
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Comm'I Sq Ft # of Stories 1 Bldg Height —12 ft. # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths I % Baths
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck
3. ResCheck w/Blower Door 4. E-Star w/Blower Door
City of Fort Collins Stock Plan #
5. Prescriptive w/Air Sealing
List appropriate option #s
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door .A —
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) $ 80,000 (rough estimate)
Description of work: Addition of new level above Around -level of existing tri-level home The new level will consist of
a study/music room and 3/4 bath There will be a deck off the new level with a concrete pier for
telescope mounting.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
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 Fort Collins ordina es and state laws regulating building construction.
Applicant Signature � ^ Print Name W. Jeffrey Blume Phone (970) 493-9208