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HomeMy WebLinkAbout123 N College Ave - Applications/Addition or Alteration - 03/30/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 r d www.fcgov.com/building 6a City of Fort Collins BUILDING PERMIT APPLICATION � �fo APPLICATION NUMBER (1 1 1) I X "1 APPLICATION DATE O O Job Site Address CO// - A" Unit # /20 , /30 PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 2c - 99/�© Last Name ) ��� L First Name 616 / Middle 'E<-xl, s Street Address � S� p K VV e City �• Cy� s State�Q_ZZip7�. CONTRACTOR INFO: Company Name //5% gnr� C!/��% //e'er Contractor Phone # Lic. Holder Name (m�/ W) �J�SO41 , City of Fort Collins License # C /- 2 7 Supervisor Cert #rle Mailing Address Y7 L- 1, Z,14 (G�r�" City L ��/r/S State Zip � � LEGAL INFO: Subdivision/PU Filing # Lot # CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Block # Lot Sq Total Garage Sq Ft Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units ls' Floor Sq Ft # of Bedrooms Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Full Baths 3/< Baths /z 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) Description of Work: cv Id i,cl QOr� Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical / Mechanical 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 Coll rdinanncce,ss and state ,laws regulating building construction. a Q Q Applicant Signature ✓l'!/ Print Name I Phone Distribution: White — Office Yellow —Applicant 14ink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE Community Planning and Environmental Services Fort Collins Neighborhood &Building Services C ih' Of FOrtCollin!, 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224,6134 Commercial Construction Application Information Revised March 6, 2006 Application Number: )ob Site Address: Boll - 4,e- Unit # '1ZU -`,136 New Buildin Name of Business: Addition Remodel/TF Kf Proposed Use: (i.e. medical, office, bank, retail, etc) nri�iz e Project square footage: P r,o. For commercial remodels and tenant finishes, please answer the following: { Is the remod�4C4 /tenant finish for ar> eysting tenant or new tenant? ��,.—� �,-, s ❑ 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 known) ew(A Clo6 At- ❑ Are there any /exterior elevation changes associated with the work? Yes vkb7,e�g IA, Describe: C ' Sow Al Js— /F&' 2, Signa tur Date Name (P ease print) Local daytime phone