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HomeMy WebLinkAbout3609 Galileo Dr - Applications/Addition or Alteration - 02/09/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F6rtCollins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER ��(�:; APPLICATION DATE Job Site Address 3(nF��6%Ll L 6 02 . Unit # PROPERTY OWNER INFO: (All /o�w'ner innffor�ation is required �i�qV' " First Name p S' — it is not optional) Phone # 1 � l"- Middle Last name Street Address � `C"l� SAW& PC- . Cit Stated, CONTRACTOR INFO:: Company Name 6607UNContractor Phone # 6910 Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address ICJ /N �'vL City State Zip LEGAL INFO: ; �1"� Subdivision/PUD W i LW " �Wb IC' 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 1s' Floor Sq Ft 2nd Floor Sq Ft # of Stories Bldg Height # Dwelling Units 3'd Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces Air Conditioning: Yes No Energy info: ( 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 # UTILITIES INFO: List appropriate option #s 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)'$ p��T Q Description of Work: SAS AA[b W � ]'t)W6rtbl 6 jlf 1� u/ (Al 4%�1�t `SIG J (� 0 N d IF,9 -T �,- b "7D Grf1 eAZPE A r� 91 — Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Roofing Solar Applicant: I hereby acknowle th t I contained herein and City of ort Ili Applicant Signature er Mechanical Concrete Other Plumbing Fireplace Other s application and state that the above information is correct and agree to comply with all requirements and state laws regulating building construction. C�7� Print Name G t 0� �S Phone J�b White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE City of Fr-t Collins Commercial Application Number: Planning, Development and Transportation PO Box 580 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134fax Construction Application Information Revised 03/30/2009 ;t 100567 Job Site Address: 1©q Gi4uc; &-D Er New Building Addition Building owner: 1 nNf corn h oN t l t F—S Remodel/TF _< . Building owner address: Ll(0 S . a4ra l � Building owner phone #: Name of Business: V(Tt)/V 60rV1/j?uN l /eS - Proposed Use: (i.e. medical, office, bank, retail, etc) -SML4=--S or:!FfC—lE Project square footage: For commercial remodels & tenant finishes, please answer the following questions: ➢ Is the remodel • hes for an (please circle answer) existing tenant or new tenant? ➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No ➢ if not the initial tenant for this unit, what was the previous use of this tenant Space? ➢ Are there any exterior building changes associated with the work? Yes or If yes, please describe: Signature oraoplicant Name (please print) Date Local daytime phone #