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HomeMy WebLinkAbout230 S College Ave - Applications/Addition or Alteration - 01/11/2006City of Fort Collins BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION .0 APPLICATION NUMBER W W `4 _ APPLICATION DATE / ! /__L15, 07 I Job Site Address 9 Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone Last Name d 1('`t'1^ C" E �Q. First Name Middle Street Address Cityi , State V.l Zip to CONTRACTOR INFO: Com any Name tv VVS ,�eY r _ Contractor Phone # � Z 6- h &-7-`7 30 O Lic. Holder Name t , dL Sa m City of Fort Collins License # Supervisor Cert # Mailing Address A% W_ SIunt"f F> City LJ tintJ State w Zip LEGAL INFO: Subdivision/PUD O Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft _ # of Stories_, Bldg Height_ # Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft # of Bedrooms # of Full Baths Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft % 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 List appropriate option 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) $ Description of Work:—M)n``i- Contact Name & Phone # of JOBSITE SUPERVISOR: --730 Subcontractor Info: Electrical N/& Mechanical NI/A- Plumbing _NA Framer , Cal Concrete �/ Other Applicant: I hereby acknow edge tha I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City o ort C i ordina s and state laws regulating building constructs Applicant Signatur Print Name t, { S1 1_ Phone w'O- d(7 r' Distribution: White - 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 80600 li,u Commercial Construction Application Information Revised May 10, 2000 Application Number: Job Site Address: 0 S , C0114gr42 Unit # New Building Addition Remodel/TF '>C Name of Business: Proposed Use: (i.e. medical, office, ban retail tc 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? 11 PAl ❑ If for a new tenant, is this the first tenant to occupy this space? - W iJ ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) o Are there any exterior elevation changes associated with the work?_fie Describe: N nda_-� Signature Name (Please print) l--IL0o' Date -� o - b 6-7 -7 -�© o Local daytime phone # 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134