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HomeMy WebLinkAbout900 Centre Ave - Applications/Addition or Alteration - 01/20/2015z-pia' / � .� �,� �� I V__) City }of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F®1 ` Collins 281 N. College Ave. • Fort Collins, CO 80524 - Phone: 970-416-2740 / www.fcgov.com/building CBUIELDING PERMIT APPLICATION APPLICATION NUMBER ��' SOO c: SS i APPLICATION DATE 2 s Job Site Address %dy (IC,17 G /4e, Unit # PROPERTY OWNER INFO: (All owner information is required - It is not optional) Phone # 7 / 0 ' 02 -0 1y9 Last name 4foym —✓�Y44mS First/Name Middle / Street Address �0� (i✓• ©r�il�_'G /2a�-.S/`/o/city c/+ t o/�r^S State [O Zip 90y2L CONTRACTOR INFO: Company Name Rr A /on <�GNS77 uGfi apt Contractor Phone # l719--) /Z • cP Y3-2 Lie Holder Name , /// T Xf // a . City of Fort Collins License # ' tPV Supervisor Cert# .3sV4 A? —T / /o rns ® Gar Mailing Address 0 • �nX 7G� City. .T State ( �/ Zip T�S� LEGAL INFO: A111,4 / 0 T /• Subdivision/PUD 4,746 A11 • n tr Or ' //rh Filing # 15 Lot # !/ Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3 3 y9 Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft 9 3 3 V 8 # of Stories 2- Bldg Height .3 S # Dwelling Units 151 Floor Sq Ft 4 6� 2"d Floor Sq Ft /1 G� 31d Floor Sq Ft Unfiished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces Air Conditioning: Yeon Energy info: (Cirole appropriate choice) ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative❑ 5. P w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # UTILITIES INF List appropriate option #s I/n rr Water Tap Size -�{� Sewer Tap Size Metered: Yes ®No� Temp. Pedestal Yes❑ No ❑ Type of Heat: RGas Electric Electric Main Breaker Size (Residential only) ❑l50 Amp or Less ❑ 200 Amp Other Value of Construction (including labor, material & profit) $ ' . h �? e�nG 00 Description of Work: �3 3 rd Contact Name & Phone # of JOBSITE SUPERVISOR: -sr U 7fii el; Subcontractor Info: ff �p] Electrical /&rr 251 6"C- Mechanical fi7� for Framer h/ / 3 Roofing 4zell4 Concrete i/5G� Solar Other Other Plumbing Z,"�(5 Fireplace Other Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fort rdinans a letetaWs regulating building construction. Applicant Signature Print Name /�/�1l 1!X �/ �a - Phone �a y3.L Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater THOS APPLOCATOOK EXPORES 180 DAYS FROM APPLOCATION] DATE ` ���'City of Planning, Development and Transportation Collins PO Box 580 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134 fax Commercial Construction Application Information Revised 03/30/2009 Application Number: Job Site Address: New Building Building owner: Addition Remodel/TF Building owner address: SG2 �✓. ��„ 5.,lya )b Building owner phone #: 9 70 - Y02 o/ ib Name of Business: 1�4,e yW �ioA".v 10e--) Arm<<.- /OM,fte's' Proposed Use: (i.e. medical, office, bank, retail, etc) /4SS1'5'40( GiV' 107 Project square footage: 6f 3Y5 For commercial remodels 8 tenant finishes, please answer the following questions: ➢ Is the remodel/tenant finishes 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 thanassociated wit i he work Yes r No If yes, please describe: fFlili(ifig+ {a i Gam.,.,.., M S �.ss l �d L,'✓.�I4 S gn re of applicant Name (please print) fatev Local daytime phone #