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Home My WebLink About1104 Stover St - Applications/Shed - 11/21/2019City of Frt Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building BUILDING PERMIT APPLICATION S N FOR OFFICE USE APPLICATION NUMBER: I C I lQ APPLICATION DATE: Job Site Address 1104 Stover Street Unit# PROPERTY OWNER INFO: (All owner information is required — NOT optional) Last Name Kelley First Name William Middle Street Address 1104 Stover Street City Fort Collins State CO Zip 80524 Phone # 970-493-1412 Email wrkelley2012 e,gmail.com Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Company Name Poudre Valley Home Improvement, Inc. License Holder Name Daniel Bucholt LIC # D-508 CERT # 2235 LEGAL INFO: Subdivision/PUD 12025-University Acres Filing # 5th Lot # 145 Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (NOT including basement) 216 Total Garage Sq. Ft. Residential Sq Ft Commercial Sq Ft # of Stories I Bldg Ht 13'-6" # of Dwelling Units 0 1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft Finished Basement Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # Fireplaces ENERGY INFORMATION: (CHECK ONE) COmCheCk ❑ UA (ResCheck) El SPA Performance SPA Alternative) ElPrescrlptive{3 ERI(Energy Rating Index) El Air Conditioning? YES ❑ NO ❑ City of Fort Collins Approved Stock Plan # SPO List Option #s UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑ Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑ ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) For Commercial remodels and tenant finishes. please answer the following auestions: Is the remodel/tenant finishes for an existing or new tenant? (Please check one) Existing Tenant El New Tenant❑ If for a new tenant, is this the first tenant to occupy this space? Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space? Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑ If yes, please describe: Value of Construction (materials and labor): $ 12,500.00 Description of Work:12'-0" x 18'-0" unfinished shed with electrical for lighting on a thickened edge concrete slab Exterior siding to match existing house per submitted drawings. JOBSITE SUPERVISOR CONTACT INFO: Name Dan Bucholt Phone 970-481-8410 SUBCONTRACTOR INFO: Electrical Lamb Electric, LLC ME-1340 Mechanical Plumbing Fireplace Framing Solar Roofing Zeigler Construction R-1947 Other ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a remodel permit, shall indicate their awareness about their property having been inspected forAsbestos Containing Materials (RCM's). ❑ I do not know if an asbestos inspection has been conducted on this property. ❑ An asbestos inspection has been conducted on this property on or about (enter date) ❑ An asbestos inspection has not been conducted on this property. 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 ordinances and state laws regulating building construction. Applicant Signature Type or Print Name Daniel Bucholt Phone # 970-48 -8410 Email dan(a,pvhi.net THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE