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HomeMy WebLinkAbout625 STOVER ST - APPLICATIONS - 6/21/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. a Fort Collins, CO 80524 a Phone: 970-416-2740 www6ftgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER Z) I a 4 3 APPLICATION DATE 6— a►— ) 2- Job Site Address r a y vgfCV 0 e C Sf Unit # PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # Last name LTd �nDw First Name C I Ark Middle bS Street Address � S Isloy r r City Fro r-`f a i �� ri S State CC) Zip 8d SZ y Company Name Lic Holder Name Contractor Phone # City of Fort Collins License # Supervisor Cert # Mailing Address City State Zip LEGAL INFO: 4 7/31/ooz ( Subdivision/PUD j 0) 6 Filing # Lot # Block # 176 Lot Sq Ft 73 JV 7 CONSTRUCTION INFO: Total Building Sq Ft (Trot including basement) o1y Total Garage Sq Ft AJI Residential Sq Ft Comm9 Sq Ft /Q/A # of Stories Bldg Height / (, # Dwelling Units IVIA 1" Floor Sq Ft 4 aK0 2nd Floor Sq Ft N/A 31d Floor Sq Ft WA Unfiished Bsmt Sq Ft WA Finished Bsmt Sq Ft 4A # of Bedrooms /' A # of Full Baths A % Baths % Baths * # of Fireplaces AIr Conditioning: Ye GO Energy Info: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11 3. ResCheck w/Blower Door Iq 4. Simulated Performance ARemative❑ 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option #s Ir �� Water Tap Size 1 Sewer Tap Size � Metered: Yes ©No Temp. Pedestal Yes❑ No Type of Heat: ElGas Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less El 200 Amp OOther Value of Construction (including labor, material & profit) $ 102 �` Contact Name & Phone # of JOBSITE SUPERVISOR: bxrk G0. 10 w o, , 9 %O —,XZ / - 2 T 6 y Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other 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 or inances and state laws regulating building construction. /! Applicant Signature Print Name Ciar� &Jlowax Phone 9 70 -3121 -a76y Distribution: White —Office Yellow —Applicant Pink —WINW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE