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HomeMy WebLinkAbout2103 Joseph Allen Dr 3 - Applications/New Commercial - 08/07/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 WWW.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER e,7)/ 0°JAgj APPLICATION DATE Job Site Address f, Unit # PROPERTY DOWNER INFO: (All owner information is required — it is not optional) Phone # Last Names )6jTS{� �. , I c First Name (G, ---, ^ i / f, /� Middle t Street Address G�7 E VP��it L �a J fcct city SJA1t! 4�`'t' CI V State `t Zip CONTRACTOR INFO: Company Name {'W 1��� :IJ� Contractor Phone # Lic. Holder Name Mailing Address LEGAL INFO: Subdivision/PUD CONSTRUCTION INFO: City of Fort Collins License # Supervisor Cert # City, Filing # Lot # Total Building Sq Ft (not including basement) 3 O 0 State Zip Block # Lot Sq Total Garage Sq Ft Residential Sq Ft Comm] Sq Ft �'10 © # of Stories Bldg Height # Dwelling Units 1 st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _ # of Bedrooms # of Full Baths % Baths /z Baths # of Fireplaces Air Conditioning: Yes do 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 # 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 Construction (including labor, materials& profit)) $ Description of Work: (J r Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Mechanical Plumbing Framer Roofing Concrete Other Applicant: I hereby acknowledge that I have read this a lication and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort Collins o dinances a s ate laws regulating building construction. Applicant Signatur Print Name T( )� Phone ?_1 Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE