HomeMy WebLinkAbout604 SMITH ST - APPLICATIONS - 11/5/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
Fort Collins
281 N. College Ave. • Fort Collins, CO 80524 a Phone: 970-416-2740
www.fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 lI h Cti ��n C Jy APPLICATION DATE
604 Smith St.
goo She Address unli
PROPERTY OWNER INFO: (All owner information is required —it is not optional) Phone # 7(4!.Z� l% ?>D
Cramer Pat
Last name First Name Middle
Street Address
604 Smith St. City FT. COLLINS State CO Zip 80524
CRAFTSMEN BUILDERS 218-6905
CONTRACTOR INFO: Company Name Contractor Phone #
Lic Holder Name STEVE JOSEPHS City of Fort Collins License # D607 Supervisor Cert # 1241-D1
Mailing Address 319 E. MAGNOLIA ST City FT. COLLINS State CO Zip 80524
LEGAL INFO:
Subdivision/PUD 10176 Filing # Lot # Block #.176 Lot Sq Ft 9500
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft 1574 Comm'I Sq Ft # of Stories 1 Bldg Height 19, # Dwelling Units
161 Floor Sq Ft 1574 2n1 Floor Sq Ft _
Finished Bsmt Sq Ft 576 # of Bedrooms 4
31 Floor Sq Ft
# of Full Baths 1 e/e Baths 2
Unfiished Bsmt Sq Ft 616
'/ Baths # of Fireplaces
Air Conditioning: YeG Energy info:( Circle appropriate choice) 1.ComCheck11 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door H4. Simulated Performance Altemative❑ 5. Prescriptive w/Air Sealing❑ S. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes ❑NoE] Temp. Pedestal Yes No
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) 050 Amp or Less 1:1200 Amp ❑Other
Value of Construction (including labor, material &profit) $ 120,000.00
el
Description of
OW, PIUS U
Contact Name 8 Phone # of JOBSITE SUPERVISOR: STEVE JOSEPHS
Subcontractor Info:
Electrical BLUE LINE ELECTRIC
Framer CRAFTSMEN
Solar
Roofing
Other
Mechanical FORT COLLINS HEATING PI b' ELLMANN SERVICE
ZEIGLER CONST
Concrete
um mg
Merriam Concrete Fireplace
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 ordinances and state laws regulating building construction.
Applicant Signature Print Name
Distribution: White — Office Yellow. —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE