HomeMy WebLinkAbout828 PETERSON ST - APPLICATIONS - 6/10/2010City of
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N College Ave Fort Collins CO 80524 Phone 970-416-2740
/ � www fcgov corn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER/yCJ 360� APPLICATION DATE 1p +` v 0
Job Site Address 828 Peterson Street
Unit #
PROPERTY OWNER INFO. (All owner Information Is required — It is not optional) Phone # 970 581 6444
Last name Billings First Name Jason Middle R
Street Address 828 Peterson Street City Fort Collins State CO zip 80524
CONTRACTOR INFO Company Name Poudre Valley Home Improvement Inc Contractor Phone # 970-481 8410
Lic Holder Name Daniel Bucholt
City of Fort Collins License # D 508 Supervisor Cert # 2235
Mailing Address PO Box 1119 city Fort Collins State CO Zip 80522
Subdivision/PUD 10158
Filing # Lot # Block # 158 Lot Sq Ft 95500
CONSTRUCTION INFO, Total Building Sq Ft ( t d dl p be ment) Total Garage Sq Ft _
Residential Sq Ft Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
Floor Sq Ft
2n0 Floor Sq Ft
3 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths / Baths / Baths # of Fireplaces
Air Conditioning Ye[]Jo Energy Info ( Crrc/e appropriate choice) 1 ComCheck ❑ 2 ResCheck w/Air Sealing 11
3 ResChedk w/Blower Door 4 Simulated Performance Alternative 5 Prescnpbve w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO.
Water Tap Size Sewer Tap Size Metered Yes [ --]No[--] Temp Pedestal Yes❑ No ❑
Type of Heat DGas nElectnc Electric Main Breaker Size (Residential only) �150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor material & profit) $ A9k�ea :�,. sw)
Description of Work
Remodel of axis.
a
Contact Name & Phone # of JOBSITE SUPERVISOR Dan Bucholt 970-481 8410
Electrical Gyver L Electric Mechanical
Framer
Solar
Roofing
Other
Concrete
Other
ng
Plumbing Rams 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 ordmanw.Land state laws regulating building construction
Applicant
Pnn—Dan Bueholt Phone 970-481 8410
Distribution White — Office Yellow —Applicant Pink —W%AW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE