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HomeMy WebLinkAbout314 E Mountain Ave - Applications/Addition or Alteration - 01/26/2007City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER p0 / oo J APPLICATION DATE / -- 04 - orl Job Site Address _3/.e/ t- . A✓a, • Unit # 131,31 PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (970) as /— Last Name fjm,4eit N GMeu mll UZi irst Name PQlt / Middle Street Address 3A2/ 6, City tm� Ca[iw State 0 Zip CONTRACTOR INFO: Company Name %li,i _, C�crr ,uc «Contractor Phone # (970) ?az/-Raon Lic. Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address 309 J, I Ln . / (ni / City � � ('6//uw State (11 Zip rQ05�� LEGAL INFO: Subdivision/PUD 0'/OQ//- FTC 3LK // Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 5 7z/.3 s-P I Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: # of Stories Bldg Height # Dwelling Units 2"d Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Full Baths 3/4 Baths /2 Baths # of Fireplaces Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door List appropriate option Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ -30? OGO Description ofWork: 7i)�Aa /tat✓ 5�n�ir P�4 Fnr» mr-L+ Levu fb QoLdf-, OavPil, fo/- n 7fn nA, -1 n / _.n_ Contact Name & Phone # of JOBSITE SUPERVISOR: 2 e"976) j?o67 -0�2.�Z-7 Subcontractor Info: Electrical 75/tLnn2 E/ee '(i'( 0 Mechanical 4deaA1,10d4&& Plumbing Framer Roofing Concrete 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,j-t /1 Print Name SfB✓Bh Phone d,z,-) Distributi . White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE M Community Planning and Environmental Services i_i tv of I:art Collins Building and Zoning Department . Commercial Construction Application Information Revised May 10, 2000 Application Number: Job Site Address:.)/4/ Ave, Unit # New Building Addition Remodel%rF. Name of Business: AI1 �5. M c to 4 &L,,L L Proposed Use: (i.e. medical, office, bank, retail, etc)_ i i%/ r! Project square footage: 57 "/3 s P ?nn LsF 4 C47w-(4 0cf u3h a,/(VC For commercial remodels and tenant finishes, please answer the following: ❑ Is the remodel/tenant finish for an existing tenant or new tenant? /I/o cji 4 A a ,;t ❑ If for a new tenant, is this the first tenant to occupy this space? ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If knownUU ) ❑ Are there any exterior elevation changes associated with the work? Alo Signature Name (Please print) ©, Date 2 7 Local daytime phone # 281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134