HomeMy WebLinkAbout120 W Olive St - Applications/Demolition - 08/10/2011Cltyof
F6rt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. a Fort Collins, CO 805224580 • Phone: 970-221-6760
www fcgov com/bullding .
BUILDING PERMIT APPLICATION
APPLICATION
0- ')_0 iD
Job Site Address_
PROPERTY ER INFO: (A I owner information is required - it of o tional) Phone # 0 � " �U
momgA _ ,� ,[ F
Last name Wes..__ _ _ First Name__ _ wL.JI: Middle
Street
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State ----
Phone ## ` , 7,0- 0 7 - 00
Lic Holder Name _ _ _ City of Fort Collins License #_ _ Supervisor Cert #
MailingAddress.______. __ _ City ____ _. State - - - - - - -- Zip ----
LEGAL INFO::
Subdivision/PUD _ 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
Ist Floor Sq Ft 2nd Floor Sq Ft _____ __ _ 3rd Floor Sq Ft, . Unfiished Bsmt.Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full. Baths % Baths '/z Baths # of Fireplaces
Air Conditioning. Yes No Energy into: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4, Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # _ List, appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: FIGas ❑ Electric Electric Main Breaker Size (Residential only) r7150 Amp or Less 0 200 Amp M Other
Value of Construction (including labor, material & profit) $ S" Qc) OJ _
Description of Work: _-_ fif—pro—
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical ___ _ _—_____ Mechanical Plumbing
Framer. Roofing Concrete Fireplace
Solar Other Other _ _ __ Other
Applicant I hereby acknowlFqnd
pplication and state that the above information is correct and agree to comply with all requirements
contained herein and City of state laws regulating building constr-'on.
Applicant Signature.���#F1'
Print Name Phone
Distribution: White —Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE