HomeMy WebLinkAbout1204 Stover St - Applications/Basement Finish - 10/22/2014City of
Frt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80522.0580 • Phone: 970-221.6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION �g08.gs
APPLICATION NUMBER i7mo4- APPLICATION DATE f�G�'. 2z• 2or4
Job Site Address 1204 5TV6'C-- ST Unit
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name F012-I 6S First Name &-ram,✓K✓C—I Middle
Street Address 12A4 5rOy�L St City F�7r� C0L--'/nis State' Zip f3o�Z
iZCX l�lEi) �aNT7C �1GTf�1G Q%0- %viz' i 7S
CONTRACTOR INFO: Company Name i✓��'L Contractor Phone #
Lic Holder Name HN o- !�X City of Fort Collins License # P -2 Supervisor Cert #
Mailing Address 12-05- C City %>ZT 6Ou41IJ3State 6:4) Zip (SOS
-24
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft
fi11yo
Finished Bsmt Sq Ft 7 8 # of Bedrooms 91 # of Full Baths 0 % Baths d/. Baths # of Fireplaces a
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
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) $ 2. l b `'
Description of
1A]Su/_)
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: Electrical Lie• Mechanical FONT Cm"pj5 Lr,j/s¢Plumbing (�OYL%J()r a-`rE PWt�B.
Framer K Roofing Concrete Fireplace
Solar
Other
Other
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 o nances fate laws regulating building construction. ,/J
Applicant Signatur�-���_.1 Print Name 41,1 l7,i /L'�J� Phone 9?04aS2 9ify
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE