HomeMy WebLinkAbout611 SHELDON DR - APPLICATIONS - 5/23/2014City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416-2740
wwwfogovoonalbuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER DI D ZS-1 / APPLICATION DATE <' ` ✓' 14
Job Site Address611 Sheldon Unit
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #409-750-1506
Last name Hall First Name Charles Middle
Street Address 611 Sheldon
Company Name Site Solutions
CityFC StateCO Zip80524
Contractor Phone #970-218-3390
Lic Holder Name Brian Stephenson City of Fort Collins License # 666 Supervisor Cart # 666
Mailing Address 1025 N Hwy 287 #3 City_ Ort Collins State CO Zip80524
LEGAL INFO:
Subdivision/PUDFiling# Lot# Block # LotSgFt
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
1� Floor SgFt
2n° Floor Sq Ft
3' Floor Sq Ft
Unfilshed Ssmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths _ 1/. Baths # of Fireplaces
Air Conditioning: Ye[]Non Energy info: (Circle appropriate choice) 1. ContCheck ❑ 2. ResCheck w/Air Sealing ❑
3. ResCheck wBlower Door ❑4. Simulated Performance Alternative[] S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO-
Water Tap Size Sewer Tap Size. Metered: Yes FINo❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑Electric - Electric Main Breaker Size (Residential only) 11150 Amp or Less ❑ 200 Amp []Other
Value of Construction (including labor, material & profit) $ 2000.00
Description of Work:
Install 2 4'x4'1=gress windows per IRC and Engineer Letter
Contact Name & Phone # of JOBSITE SUPERVISOR: Brian 218-3390
Subcontractor Into;
Electrical Mechanical
Framer
Solar
Applicant: I. hereby
contained herein at
Applicant Signatt
Roofing
Concrete
Plumbing
.Fireplace
Other Other Other
I have ad this ammliration and state that the above information is cored and agree to comply with all requirements
is o ces and state laws regwavna ouildinq construction.
Print Name Brian Stephenson Phone 218-3390
White -Office Yellow -Applicant Pink-WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE