HomeMy WebLinkAbout458 Zeppelin Way - Applications/Change of Use - 04/25/2017City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICE
Fort+t Collins 281 N College Ave • Fort Collins, CO 80522-0580 • Phone 91-6760
www fcgov com/budding 4
BUILDING PERMIT APPLICATI70 NHS%
APPLICATION NUMBER v 1� O 1 I F APPLICATION DATE y I Iasi1-1
Job Site Address C--P-P(3LJ) 4>/u �Uninit # O�
PROPERTY OWNER INFO (All owner
information Is required - it is not optional) Phone # cn -? 6 / 3✓✓
Last nameCF1L-,A-ZI —T(C, Cy2ULW �rnrsf� ame Middle
Street Address 6 , (� I J J� KA r S115 Z� 6City � 'L% ) V) e7� Stated Zip �6 fY
CONTRACTOR INFO Company Name �,ALAT -� 16 M6 5 Contractor Phone v
Lic Holder Narrilaw 6Ae-os /Sb t1 City of Fort Collins License # Supervisor Cart #
Mailing Address -,�A M tr ild� O-Z--f' City State Zip
LEGAL INFO i, ( / %
Subdivision/PUD 1% ADl 1210 p� Filing # C/ Lot # 3 Block #—+-- Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement)/A Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height # Dwes _
1s' Floor Sq F 2"d Floor S t 3�1 q t Unfiished Bsm q Ft _
Finish 1 s # of Bedrooms ;oiFull Baths '/. Baths /z Baths # of Fireplaces
At Con g 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 # N / A- List appropriate option #s
UTILITIES INFO
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
Contact Name & Phone # of JOBSITE SUPERVISORraYlS
Subcontractor
)Info
�
Electrical '-V /L�C�% Mechanical —7— ,j�r Plumbing
Framer �(�"�-/ Roofing Concrete i1i / Fireplace
Solar Other Other Other
Applicant I hereby acknowledg at I have rea his application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F ollins ordi c nd state laws regulating building co truct n �J, -/� 7 �j f
Applicant Signature Print Name /r/G�/ J ' �f Phongy`a/'�2J�
Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE