HomeMy WebLinkAbout331 SMITH ST - APPLICATIONS - 8/3/2010F6rt of
APPLICATION NU
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Job Site Address 331 Smith St
281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION DA
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
Last name Weller First Name Chris
a -
Unit #
970-402-2952
Middle
Street Address 331 Smith St City Fort Collins State CO Z
CONTRACTOR INFO: Company Name Bella Energy Contractor Phone # 303-665-2100
Lic Holder Name Geoffery Vezzetti
City of Fort Collins License # ME-1121 Supervisor Cert #.
Mailing Address 500 S. Arthur Ave Suite 400 C
LEGAL INFO:
Subdivision/PUD
Louisville
Filing # Lot #,
80524
State CO Zip 80027
Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1It Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
% Baths 'Y2 Bath's # of Fireplaces
Air Conditioning: YeGo0 Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative ❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO: (�v`
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Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ NoEl
Type of Heat: ❑ Gas1-1 Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less1:1 200 Amp DOther
# of Bedrooms # of Full Baths
Value of Construction (including labor, material & profit) $ 16,814
Description of Work:
Installation of a 3.06 kW, grid -tied, flush roof mounted, photovoltaic solar system.
Contact Name & Phone # of JOBSITE SUPERVISOR: Colin warm 303-665-2100 ext. 241
Subcontractor Info:
Electrical
Framer
Solar
Mechanical
Roofing Concrete
Other Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have read this ication and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordi es state laws regulating building construction.
Applicant Signature Print Name Jason Adams Phone 303-862-2458
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater