HomeMy WebLinkAbout625 STOVER ST - APPLICATIONS - 4/25/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
ia www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 2�^t(/ �S '4 A,�C APPLICATION DATE_
Job Site Addra_cc h 2 5 i?� it o e
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PROPERTY OW
NER INFO: (All owner information is required - it is not optional) Phone # 9 --7- 0- 21
Last Name First Name C10.r-k
nn Middle
Street Address b a s cS �o v eT K"t, City Fo r+ Ce (:.. S State C.O Zip AO 8 ?_q
CONTRACTOR INFO: Company Name
Lic. Holder Nam
Mailing Address
LEGAL INFO:
Subdivision/PUD
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
Filing # Lot #
CONSTRUCTION INFO' Total Building Sq Ft (not including basement)
Residential Sq Ft 95 Comm'I Sq
1st Floor Sq Ft 2nd Floor Sq Ft
# of Bedrooms # of Full Baths
Air Conditioning: Yes
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
State Zip
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Hei ht I # D
9 welling Umts
Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
Baths / Baths # of Fireplaces
Energy info: (Circle appropriate choice)
ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option #s
6. Prescriptive w/Blower Door
Water Tap Size
Sewer Tap Size Metered: (!�Ro or No
Temp. Pedestal: Yes or
No
Type of Heat: pOas
❑ Electric Electric Main Breaker Size (Residential only):
❑ 150 Amp or Less Rr200 Amp
❑ Other
Value of Construction (including labor, material &profit) $_ Jr4000
Description of Work: P tzre-oc Q
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: l/cf m Z oL r%er-
rl
Electrical ((
Framer
If if
Mechanical
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 Print Name Cho rG-6310!1 cL Phone a2 1 —2 W T
Distribution: (White —Office Yellow —Applicant Pink — WWW/Stormwater
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Roofing
Plumbing
Concrete K it
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE