HomeMy WebLinkAbout646 STOVER ST - APPLICATIONS - 3/8/2010Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N College Ave Fort Collins CO 80524 Phone 970-416-2740
www fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER, V U I I J APPLICATION DATE
Job Site Address 646 Stover St
Unit #
PROPERTY OWNER INFO. (All owner Information Is required — It Is not optional) Phone # 303 775 2063
Last name Deuto First Name Jeremy Middle D
Street Address 646 Stover St Cdy Fort Collins State CO Zip 80524
CONTRACTOR INFO Company Name
Lic Holder Name
Contractor Phone
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Tip
LEGAL INFO.
Subdrvision/PUD Filing # Lot # Block # Lot Sq Ft
r CONSTRUCTION INFO, Total Budding Sq Ft t of and d g baeemert) Total Garage Sq Ft
Residential Sq Ft Comm 1 Sq Ft # of Stones Bldg Height # Dwelling Units
Floor Sq Ft
2"d Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft COO # of Bedrooms O # of Full Baths _�._ / Baths �_ / Baths # of Fireplaces
Air Conditioning- YeGoo Energy info ( Crrrie appropnate"Choice) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck wBlower Door El Simulated Performance Altemattve❑ 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
Water Tap Size Sewer Tap Size Metered Yes ❑No❑ Temp Pedestal Yes❑ No ❑
Type of Heat ❑ Gas nElecric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor material & profit)
Description of Work
Basement remode
Contact Name & Phone # of JOBSITE SUPERVISOR Jeremy Deuto 303-775-5053
Subcontractor Info.
Electrical
Framer
Solar
Mechanical
Roofing Concrete ,
Other Other
Plumbing
Fireplace
Other
Applicant 1 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 F Colin ordr and state laws regulating budding consbmcbon
ApplicantStgnatur _ Print Name^Jeri&ny )e(,t'}U. Phone303 27T'LK;
Distribution While - Office Yellow -Appicant Pink —WWW/Stonrwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE