HomeMy WebLinkAbout2515 Owens Ave - Applications/Multi Family New - 05/29/200769� BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcg
ov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER
% O �� APPLICATION DATE �L
Job S+te Address
—�— Unit #
PROPERTY OWNER INFO:
(All owner information is required it is not optional) Phone # ynr/ ) 22 y - 9
Last Name ho
ILL First Name_44CO��
Street Address --wj Q
Middle
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j rtP City eh,1,16� StatejoD _Zip_
CONTRACTOR INFme
O: Company Na
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+tvlDO Contractor Phone # (9 � )q_()/ ot)!
Holder Name —
Dim+ City of Fort Collins License # Su pervisor Carl #
Mai
Mailing Address
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LEGAL INFO:
Subdivision/PUD (
rDl f i> En velopt- NZ)i� tf Filing # Lot # Block #� Lot Sq Ft
CONSTRUCTION INFO: Total
Building Sq Ft (not including basement)
Residential Sq Ft N45-10
_/i'
��sS& Total Garage Sq Ft
Comm'I Sq Ft # of Stories Bldg Height 35, #Dwelling Units
15t Floor Sq Ft
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished
# of Bedrooms
Bsmt Sq Ft
# of Full Baths % Baths
Air Conditioning: Yes No
Yz Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2 ResCheck w/Air Sealing
3. ResCheck w/Blower Door
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door `
City of Fort Collins Stock Plan #
1 n
List appropriate option #s
UTILITIES INFO -
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Water Tap Size VS. J J_ Sewer Tap Size_ Metere :Yes No
or No Temp. Pedestal: Yes o
Type of Heat: �as ❑ Electric Electric Main Breaker Size (Residential only):�150 Am or Less ❑ 200 Am ❑Other
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Value of Construction (including labor, material & profit) $_ 9oy �P9 g /en
Description of Work: E i r, k+
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info
Electrical -c�llrk F1p!'-� J f Mechanical
^ Alle(+.�t►� r.t-tt^f' Plumbing Allen Plrvnhinn
Framer l:ur�m hn-<i�-o�i.�Lb..,�in � �---�-�---
^� g AjthgcP 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 Signaturein
Print NameA&/fi� I S_ Phon Q —
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE