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HomeMy WebLinkAbout3407 Stover St - Applications/Addition or Alteration - 08/30/2010City 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 APPLICATION NUMBER 6 / ©t)<S5: - APPLICATION -AJob Site Address J iO _�- st oyY �S+ Unit #(J-113 } PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone # ` T] j Jam' + q �. Last name V(��(f__S First Namesa� c J'_ � � VI Middle( �1 � LSO Street Address �L� -t- J �y S� V Cit/�y l--V _Ly1J State C 0 Zip 905 CONTRACTOR INFO: Company Name TBA Contractor Phone # Lic Holder Name City of Fort Collins License # Mailing Address City LEGAL INFO: Subdivision/PUD CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft Comm'I Sq 111 Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft Filing # ement) # of Stories Lot # 3'd Floor Sq Ft Bldg Height Supervisor Cert #. State Zip Block # Lot Sq Ft Total Garage Sq Ft # Dwelling Units Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths 1/4 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 4. 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 b0 Value of Construction (including labor, material`-& profit) $ Description of Work: 2rl'1pv 1 I l�l 1f e n G� YLi ® �l V� I A A I Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical �71k Mechanical Framer Solar Roofing Other Concrete Other Plumbing 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 Cit of Fort Collins ord' ances and state laws regulating building construction. y� A j / p �pplicant Sig e Print Name(5a'�k Ja r f e_A Phone `[ % ' �'(� —cw13 Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE