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HomeMy WebLinkAbout346 E Mountain Ave - Applications/Tenant Finish - 02/15/2008BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building ✓��3 City of Fort Collins n ��y BUILDING PERMIT APPLICATION CXJv! o� APPLICATION 1111.11ER I PLICATIO DATE � Job Site Address F-"AU1 l �7A M5 Unit # Z 4 PROPERTY OWNER INFO: (All owner information is required — it is not optional) optio.,�enal) Phone #q-7 0 9A5-- 3 D25 Last Name �� US First Name w W � ` Middle Street Address _ ( City f� CDL,1A y5 State CC Zip CONTRACTOR INFO: Company Name Lic. Holder Name Mailing Address_ LEGAL INFO: Subdivision/PUD Contractor Phone # City of Fort Collins License # Supervisor Cent # City State Zip Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ,I LITA Total Garage Sq Ft Residential Sq Ft Comm] Sq Ft # of Stories Bldg Height # Dwelling Units 1s' 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 No 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 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, material & profit) $ If 9 co 1— hA- Vt�"" Description of work: A n D " 1 �I C OUK;yer T W G RD 1 X. � , 1© Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical N CA Mechanical Framer Roofing Concrete FE C�nJSTP- u,C%Ctc�/�! Plumbing f64f5�'""GtJrYtAI� 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 buildings construction. ( Applicant Signature k Print Name 'V,f 1�J Phone 1 ! o �4 Distribution: ite — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE Community Planning and Environmental Services Building and Zoning Department City of Fort Collins Commercial Construction Application Information Revised May 10, 2000 Application Number: Job Site Address: 3% Y °UUt lrA-W %t fly Unit # New Building Addition Remod /TF Name of Business: U 11-A- _f5kck�= Proposed Use: (i.e. medical, office, bank, retail, etc) ,1 Project square footage: For commercial remodels and tenant finishes, please answer the following: ❑ Is the remodel/tenant finish for an existing tenant or new tenant? ❑ If for a new tenant, is this the first tenant to occupy this space? dD ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) iZ tl— ❑ Are there work?—] Describe: Sign ure Name (Please print) exterior elevation changes associated with the a- 1,5' - DS Date t�� ��� Local daytime phone # 281 North College Avenue • PO. Box 580 m Fort, Collins, CO 80522-0580 • (970) 221-6760 a FAX (970) 224-6134