HomeMy WebLinkAbout120 W Stuart St - Applications/Tenant Finish - 07/09/2013Fort Cothns
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collin, CO 80524 • Phone: 970.416-2740 �'
www fcgov comlbuilding ` l /
BUILDING PERMIT APPLICATInN
APPLICATION NUMBER aPPtJCAnoNnA,E
jOD site ACIdresS I -Go W, 5-wAe" J , ,-( Unit#
PROPERTY OWNERS INFO' (All pnwnor Information Is roqulrod - a Is not optional) Phone #_ 20AT - —�j�
Last name-CL44AyS 1 t744151�lb First Name Mil
Street Address��QaaG6 /�Pyy/f4(— Dku16 �/ CitY—&C'AA&AabVW-- Staia 2►P Z .
CONTRACTOR INFO:O: Company Nam Ll£fS C A40A ve y. Contractor Phone
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Lic Holder Name 2 aUef LiI J (b� 1p� City of Fort Collins License # ' 311 Supervieor Cert # 0 _ C
Mailing Address 72?i`7' ril[tinut'Li ttiDCi aty smte_c___v__zip 07
t Fret INFO.
SubdMsion/PUD Fling # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO- T0ta1 Building Sq Ft (naindu'no- , , o)_Zj"I8 Total Garage Sq Ft{fJ
Residential Sq FtComm I Sq Ft �ZZg IIIof StoriesZ i # Dwefl rrg UUnnb A
1• Floor Sq Ft 2y9 _, �_ Bldg HaIghtL�2ie Floor Sq Ft 3a Flow Sq FtI - Unfilshed Bsmt Sq Ft 0
Finished Bsmt Sq Ft 05 of Bedrooms # of Full son 4?L % Baths % Baths 421— # of Fireplaces
Air Condktonhig.. YegN Energy Into: ( Cftb OPPR30ate dwfaa) 1. ComCheck LN 2. ResChecc w/Air Sealing11
3. ResChedc wlBlower Door fl 4. Simulated Performance Alternative❑ S. PmscrlptWs w/AIr Sealing11 S. Prescriptive w/ Blower D000
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO It
Water Top Site YZ- Sewer Tap Size �'1��P Metered: Yea No T ® � amp. Pedestal Yes❑ No®
Type of Heat W GaS ❑EkCrtc Electric Main BreakerSize(Resklential only) ❑l50 Amp or Less 11 200 Amp ❑Other
Value of Construction Qnduding labor, material & profit) $ �C3 +� ��•
1-I
of Work: 1,-�S'rQrjL'Y
Contact Name & Phone # of JOBSI E SUPERVISOR:
SubconinicS4rJ014:
Electrical
Framer
Solar
Rooting
Mechankal Plumbing
Concrete
Fireplace
Other
Applicant I hereby ackn at 1 have read a application and state let me abare Infomtation Is comics and agree to comply wall as requirements
contained hereby and C pore, nd state laws regulating bulk ng constrtmean.
Applicant Signature Print Nama_� 151� �0 /yGU,N Phone q����08'ra
Distribution: Whte-Otace Yellow -Applicant Pink -WVWV/SWartavater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE