HomeMy WebLinkAbout630 Peterson St - Applications/Addition or Alteration - 05/24/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rtCollins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgovcom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER �� Q Z`I APPLICATION DATE �� • ���) �P .
630 Peterson St Fort Collins CO 80524
Job Site Aaaress
U llit it
970-225-6446
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Stober Dianne R
Last name First Name Middle
Street Address
630 Peterson St City Fort Collins State CO Zip 80524
Dianne Stober, owner 970-691-1288
CONTRACTOR INFO: Company Name Contractor Phone #
Lic Holder Name
City of Fort Collins License #
Mailing Address Same as above City
LEGAL INFO:
/10156-FTC BLK 156
Subdivision/PUD Filing #
Supervisor Cert #,
State Zip
N1/2Lot11
Lot # Block # 156 9500
Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2029 Total Garage Sq Ft
Residential Sq Ft 2563 Comm'I Sq Ft # of Stories 1 Bldg Height # Dwelling Units 1
Is' Floor Sq Ft 2029
31d Floor Sq Ft Unfiished Bsmt Sq Ft 653
Finished Bsmt Sq Ft 534 # of Bedrooms 4 # of Full Baths 1 '/ Baths 2 '/ Baths # of Fireplaces
Air Conditioning: Ye fl
Energy info:( Circle appropriate choice) 1.ComCheck2. ResCheckw/Air Sealing3. ResCheck w/Blower Door4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
2nd Floor Sq Ft
Water Tap Size Sewer Tap Size Metered: Yes ❑NoF7 Temp. Pedestal Yes No
Type of Heat: n Gas Electric Electric Main Breaker Size (Residential only) ❑✓ 150 Amp or Less ❑ 200 Amp []Other
382
Value of Construction (including labor, material & profit) $ 13,382
Dup9thing WlycoA
New sink plumbing, gas line brought up to code, vent -Food installation with make up air.
Contact Name &Phone # of JOBSITE SUPERVISOR:
Dianne Stober, 970-691-1288
Subcontractor Info:
Electrical Blueline Electrical
Framer
Solar
Mechanical
Roofing Concrete.
Other David Nardi, HVAC Other
Plumbing Taft Hill 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 City
�an
of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature \, J .,,4mw_ 6 6,,- Print Name Dianne Stober Phone 2'4' 1
Distribution: White - Office Yellow -Applicant Pink - VWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE