HomeMy WebLinkAbout3407 Stover St - Applications/Addition or Alteration - 04/14/2014 (5)$ 5u .15-
Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER '61401 1 t,#7 APPLICATION DATE /k rL -'+• U14-%
Job Site Address 3407 Stover St Unit # F 614
PROPERTY OWNER INFO: (All owner information is required — it Is not optional) Phone # 5814638
Last name Laubenstein First Name Darlene Middle
Street Address same City FTC State CO zip
CONTRACTOR INFO: Company Name Brentwood Renovation Contractor Phone # 391 5324
Lic Holder Name John Mason City of Fort Collins License # D608 Supervisor Cent #
Mailing Address 1525 Glen Haven Dr city FTC State CO Zip 80526
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1� Floor Sq Ft
2n4 Floor Sq Ft
31" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/. Baths Y2 Baths # of Fireplaces
Air Conditioning: Ye Go Energy Info: ( Circle appropriate choice) 1. ComCheck E] 2. ResCheck w/Air Sealing
3. ResCheck wBlower DoorEl 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 S. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑No[--] Temp. Pedestal YesE] No
Type of Heat:El Gas ❑Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material 8 profit) $ 700
Description o1
Install new
mns
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
per
Plumbing
Fireplace
Other
Applicant: I hereby ack led a that rave read this application and state that the above information is correct and agree to comply with all requirements
contained herein an dy of Fo Col A ordinances an tate laws regulating building construction.
Applicant Signa et/ Print Name cJ i✓ / �Q0hJ Phone
Distribution: White —Office Yellow — Applicant Pink —WWW/Stomnvater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE