HomeMy WebLinkAbout916 W Prospect Rd - Applications/Addition or Alteration - 04/16/2007City of Fort Collins
APPLICATION NU
Job Site Address
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION
MY
Unit #
A
PROPERTY OWNER INFO: (All owner information is requcirr d -'t is not optional) Phone #
Last Name a�First Nam � �) ljm � �
Middle
Street Address I�LJ ` city{ C�rj��- ii� jj I�/(S State d Zip
CONTRACTOR INFO: Company Name R. �� Ei�.crTy1 com T�Co�nt actor Phone # -1�%�- I
Lic. Holder Name_ okwk+ u e.a+) City of Fort Collins License # A l 1 Supervisor Cent #
Y\�
Mailing Address C •d, jA�L2,�( 1-2 City rOYTnsU'7lA0 State (2-0 Zip&ntD 2—
LEGAL INFO: Zj�wu l rj . - LO{�-,
1 lL_ b� � 11 +- 10 1 I�
Subdivision/PUD iOZeA - F�r`_yS Filing # Lot # Block # 2— Lot Sq Ft " V
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) '5 �O 10j '�Q (/, Total garage Sq Ft
vari�e� Z
Residential Sq Ft Comm'I Sq Ft�_ # of Stories Bldg Height_1 Z - III # Dwelling Units
151 Floor Sq Ft �jl Q� 2�d Floor Sq Ft __ Unfinished Bsmt Sq Ft _ Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths L- 3/4 Baths '/z Baths # of Fireplaces
Air Conditioning: Y s No Energy info: (Circle appropriate choice) 1. ComChec 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
UTILITIES INFO:
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 Constrr
tion (including labor, material & profit) $ 1� it �1��'[��
4. E-Star w/Blower Door
Contact Name & Phone # of JOBSITE SUPERVISOR:
4eV� Z:5&jL I
Subcontractor Info: ��_(�,�
Electrical � t ` (��-�qZ�C Mechanical Gas Plumbing 1 iyt�egj t�l,6�,a
Framer 'e ' X V" akh Roofing 7CE;AD Concrete
Other
Applicant: I hereby ac owledge at I have ad thi application and state that the above information is correct and agree to comply with all requirements
contained herein an City of Fo Ilins ord ances d state laws regulating building construction.
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Applicant Sign ture Print Name DnR 1A C��Phone-1 1� ""!Zliff
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
t'.iq xi P,wt Quirs 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:
Job Site Address:
New Building Addition F O
Name of Business:
e.
Proposed Use: (i.e. medical, office, bank, retail, tc
Project square footage: IlrD E
Unit #
Remodel/TF
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant?
o 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)
❑ Are there any exterior elevation changes associated with the
work?
VDb`cG - ZZi -4 `l_n
Name (Please print) Local daytime phone #