HomeMy WebLinkAbout2720 Council Tree Ave - Applications/Tenant Finish - 07/17/2008BUILDING PERMITS l52E DIVISION
P.O. Box 580 •Fort Collins, COC8080522-0580 0580 - Phone: 221-67ti0
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER vli ,J APPLICATION DATE 1 / - o"
Job Site Address 2-72D C°o•-t,,f -i-Lecivt Unit # //'Z
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name Pi e diP1ti7Y J L-LC First Name
Phone # % 76. Zd t % zK
Middle
Street Address 2-1 y4? 6�Du^MA({ city 1�—.ad//,-,,� Stated Zip 865ZS-
CONTRACTOR INFO: Company Name S'innvklr BI.&Ae-o" Contractor Phone # '170. gla3 1-770
Lic. Holder Name beh"Ls -Sjwk% E City of FortCollinsLicense # Supervisor Cert #
Mailing Address �7 "u r;-Ic City f ,(%li(vts State(�!d Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft.
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft `%36S # of Stories I Bldg Height # Dwelling Units
1s' Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 3/4 Baths /z Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door �' l
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas P1 etric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material &profit) $ >' _Zle, Ut3'Dw
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: =tt, C-6,eL 976). 8 1 z48
Subcontractor Info:
Electrical D%-Gk, er t rr. Mechanical PD tyc Plumbing
Framer Roofing t- Concrete 6A A4 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 Signature Print Name l.fY2] Phone 770,4-�Z(a. 1Z62,3—
r
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE