HomeMy WebLinkAbout3500 S College Ave - Applications/Addition or Alteration - 02/21/2014City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Coilins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER I " / /I C/ 9U/ ! APPLICATION DATE
Job Site Address 3500 5, C-nllprip_ Avenue `Unit/##
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name
Street Add
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing Address_
LEGAL INFO:
Middle
City F24 - CO I L 0 5
Contractor Phone #
City of Fort Collins License #.
City
Subdivision/PUD Filing #.
Lot # Block
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Gal
Nt.J —rT 5329af
Residential Sq Ft Comm'I Sq Ft S 4�of Stories_ Bldg Height
fr 541t,sf
1s' Floor Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiisl
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/, Baths '/2 Baths
Air Conditioning: es No Energy info: ( Circle appropriate choice) 1. ComCheck 2. Re
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing
City of Fort Collins Stock Plan # AIA List appropriate option
UTILITIES INFO:
Water Tap Size �A-- Sewer Tap Size Metered: Yes or No ")"-Temp. Pe
Type of Heat: IS.Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less
Value of Construction (including labor, material & profit) $ d z'z� 3, E5,96 .
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Applicant: I hereby a nc
contained herein and/
Applicant Signa
A
Mechanical
Concrete
Other
Plumbing
c
Cart #
Lot Sq Ft
ie Sq Ft
Dwelling Units A��A
d Bsmt Sq Ft " J
_ # of Fireplaces
k w/Air Sealing
3rescriptive w/ Blower Door
al Yes or No A_),A-
200 Amp AOther
I hav 6 i application and state that the above information is correct and agree to comply with all requirements
is or ' c tat@_laws regulating building construction.
Print
-l"o4 �S'
-Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION