HomeMy WebLinkAbout301 E Stuart St - Applications/Addition or Alteration - 10/19/2017City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For/t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 870-416-2740
wwwJcgov cornibuilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1� APPLICATION DATE V 1 f
Job Site Address 301 E Unit
PROPERTY OWNER INFO: (All owner information Is required - it is not optional)
Phone # / /
Last name 6t 7 , 2 / ts�k� �Ri 11 C � g�Q�`i�/Jgiddle
Street Address 30/ E 67"✓arm 57• / City �. �y/!!NS State_r_O�zZip �`'z
CONTRACTOR INFO Company Name L�Or�5 �r-if� - Contractor Phone # 9 7b �U i E2 7
Lic Holder Name
✓ li✓/�f•So ./� ' City of Fort Collins License #C '� 7 Supervisor Cert # 5� 7"� 2
Mailing Address ��� 5 L��t(� lMI. City 611,6 5 State 4!5& Zip 1225LV
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 Comm9 Sq Ft # of Stones Bldg Height # Dwelling Units
1 °' Floor Sq Ft 2n° Floor Sq Ft
3f0 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths 'Y2 Baths # of Fireplaces
Air Conditioning: YwDon Energy Into—( Circle appropnate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3 ResCheck w/Blower Door ❑ 4 Simulated Performance Alternative❑ 5 Prescriptive w/Air Sealing11 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes rNoF_1 Temp. Pedestal Yes❑ No
Type of Heat -El Gas Electnc Electric Main Breaker Size (Residential only) F-1150 Amp or Less 11 200 Amp ❑Other
Value of Construction (including labor, material 8 profit) $� ; 4PC> (f>
i
Descnotion of Work:✓✓IoB e L /�'lPjuS //11�✓t `rid iS`� r�,.•� s ,
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: �q
Electrical (! �. ^i0.r,/ cc-ler. Mechanical Plumbing l !3!! / e
Framer
Roofing
Concrete
Fireplace
Solar Other Other 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 Collins ordinances and state laws regulating building construction
•.{{ i
Applicant Signature � Pnnt Name14I tlkon Phone 9,V -270 1fVY
Distribution White -Office Yellow -Applicant Pink - WVWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City Of Planning, Development and Transportation
_IF61 t Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: 5:p/-.Jiiocu`l — -f540re-t-
New Building
Addition
Remodel/TF_
Building owner: LPL-.-
Building owner address: 30i t-S7-L;a,-7- 54rme7f-
Building owner phone #: '776) - Yg� - /Z Z I
Name of Business:
rb�
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: 31 fi� 5 r-
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remo ' es for an (please circle answer)
existing tenant r 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 o No
If yes, please describe:
Sig a ure of applicant
Name (pl ase print)
bate/o/Z >
Local daytime phone #