HomeMy WebLinkAbout707 W Mountain Ave - Applications/Addition or Alteration - 06/05/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 ao3� APPLICATION DATE �Q I
Job Site Address -7 0 7 W . Unit #
F-a.ti C 0 t_ c Q t _
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (� O
Last name % L- / FC�t �`� First Name_ �� r +�� Middle /�
Street Address -70-1 W /�O�/�r?�'!+� City / t%Z C�Z_C I- S State `y ZipiL
CONTRACTOR INF - ompany Name C' lc �� vC �'vr-1q--- Contractor Phone # % / c? Z (o 0 _% 07 O
Lic Holder Name t� �v `-'i�0 -�j City of Fort Collins License # Supervisor Cart #
Mailing Address City �� • q!!�' t^9 S State C0 Zip
LEGAL INFO:
Subdivision/PU
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
161 Floor Sq Ft
Comm'I Sq
2nd Floor Sq Ft
Filing # Lot # Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
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 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
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:✓--�ih ;7c�� O''�+ = ���-
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Mechanical Plumbing
Framer Roofing Concrete Fireplace
Solar Other Other Other
Applicant: I hereby acknowle at I have r d this pplication d state that the above information is correct and agree to comply with all requirements
contained herein and City of ort Collins or ' ance nd state I s regulating building construction.
Applicant Signatur Print Name '��� ��/�'^" `i Phone;?O,-�7t00( v'c9 c
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE