HomeMy WebLinkAbout719 S Lemay Ave - Applications/Tenant Finish - 04/13/2007BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. Box 580 • Fort Collins, CO 805M-0580 • Phone: 221-6760
www.fcgov.com/building
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 9APPLICATION DATE
Job Site Address 7 N S. tcx44!� AI/c _ F7- . Ca ", �1. CO A Uiz4- Unit #
PROPERTY OWNER INFO: (All owner information is required -it is not optional) Phone # 57 7 - `/ Z d 4-
Last Name R/Vt%L A Lc%JQv 5 , lt)r,, First Name Middle
Street Address_101 COA60AAt] Cr. &JILWA00 ; _ SS' C, `gV City FT. C '-L..cS State co Zip d T L S
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address Cify State Zip
LEGAL INFO:
Subdivision/PUD RI VC&S I OC Ey-d°A'�1C� Ct Nt6 fling # Lot # D Block # Lot Sq Ft 3 S? do
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3 Z 9 g Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 329' a # of Stories_L_ Bldg Height # Dwelling Units
15+ Floor Sq Ft 3 Z9'A 2nd Floor Sq Ft 96 Unfinished Bsmt Sq Ft_A Finished Bsmt Sq Ft _
# of Bedrooms $L!� # of Full Baths % Baths % Baths # of Fireplaces I I
Air Conditioning: Yes No Energy Info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
6. Prescriptive w/Blower Door
Water Tap Size E XrST, Sewer Tap Size rR xisr. Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: KGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) S 76, d o 0
Desimption of Work: RCMOOEL dF IAr1CQI0rQ FrNtSrk:-s R-CPt./1-c-0,"C7uT OF EXt5r1Nfz Rt-SrX660.e
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Mechanical
Plumbing
Other
Applicant: 1 hereby acknowledge that I have read this application and state that the above information is coned and agree to comply with all requirements
contained herein and City of Fort Collins ordi nc and state laws regulating building oonstruction.
CwG ARcH t fc'c1 5
Applicant Signature Print Name DO At 501F' I- IDS Phone 49 3 -2025
Distribution: White ce Yellow -Applicant Pink - WWW/Stormwater
Roofing
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE