HomeMy WebLinkAbout416 Clover Ln - Applications/Addition or Alteration - 03/06/2020COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
F6rt Collins
281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416.2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 2:ap v Un APPLICATION DATE
Job Site Address416 Clover Lane Unit
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
Last name Xrunkmilr First Name y¢ybyl/Zw Middle S
Street Address il6 Vttw 1-'L" City State ee. zip 2-03
CONTRACTOR INFO: Company Name Site Industries/Basement Escape Contractor Phone #970-227-0789
Lic Holder Name Brian Stephenson
Mailing Address 519 N. Overland Trail
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq Ft
151 Floor Sq Ft
2"d Floor Sq Ft
City of Fort Collins License # 815 Supervisor Cent #
_ CityFC State CO Zip80521
Filing # Lot # Block # Lot Sq Ft
ement) Total Garage Sq Ft
_ # of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths '/2 Baths # of Fireplaces
Air Conditioning: Ye�]Non Energy info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11
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 []No[] Temp. Pedestal Yes❑ No 11
Type of Heat: D Gas Electric Electric Main Breaker Size (Residential only) E-1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 3 yoo
Description of Work:
Install 1 basement egress window per IRC code and attached engineering.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
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 City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature q0/1ly ViU/l�lr�/� Print Name 4-on'&4 4afidr1r/Y" Phone 9 •PSG_ / j%�
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Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
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