HomeMy WebLinkAbout632 ENDICOTT ST - APPLICATIONS - 9/12/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER J I Q D 5 R 13LR APPLICATION DATE
Job Site Address 632 Endicott St Ft Collins, CO 80524 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last name Kates First Name William
Street Address 5135 Howard Ave city Western Springs state IL Zip 60558
CONTRACTOR INFO: Company Name Homeowner
Lic Holder Name
Mailing Address.
LEGAL INFO:
708-246-5699
Middle P
Contractor Phone
City of Fort Collins License # Supervisor Cert #
City,
State Zip
Subdivision/PUD Sitzman's Addition Filing # Lot # 9 Block # 2 Lot Sq Ft 6500 S.F.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 924 S.F. Total Garage Sq Ft 672 S.F.
Residential Sq Ft 924 S.F. Comm'I Sq Ft NA # of Stories 1 Bldg Height 19, # Dwelling Units 1
V1 Floor Sq Ft 924 S.F. 2nd Floor Sq Ft NA
31d Floor Sq Ft NA
Unfiished Bsmt Sq Ft 780
Finished Bsmt Sq Ft NA # of Bedrooms 2 # of Full Baths 1 3/ Baths NA '/Z Baths NA # of Fireplaces NA
Air Conditioning: YeS No0 Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResC heck w/Air Sealing
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes W]NoF] Temp. Pedestal Yes❑ No W1
Type of Heat: W1 Gas1-1 Electric Electric Main Breaker Size (Residential only) W1150 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ $80,000
Description of Work:
Demo existing lath and plaster and replace with drywall, Remodel kitchen and bath, add additional 1/2 bath,
Update electrical service, Replace all existina windows and entry doors,44efrnish- loom, Install new furnace and water heater,
Relnrate stairs to basement level, add a deck to the rear of the�hnuse, demn/repair existing siding rippending on rnndition and replare with new
Contact Name & Phone # of JOBSITE SUPERVISOR: LRF.Ls k Nlii6 7 0 -9 2R--197Co
Subcontractor Info:
Electrical Wray Electric Mechanical _
Framer Homeowner Roofing Homeowner
Solar NA
Other
Unknown
Concrete NA
Other
Plumbing Unknown
Fireplace NA
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 ordinances and
/state laws regulating building construction.
Applicant Signature �� �'t Print Name W l Phone 70 8' 2 Y 6 - .S6 9 i
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE