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HomeMy WebLinkAbout302 S College Ave - Applications/Mechanical - 12/22/2017Fort Collins COMMUNITY DEVELOPMENT $ NEIGHBORHOOD SERVICES 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760 www fr-gov aom/building BUILDING PERMIT APPLICATION APPLICATION NUMBER YO v S81, APPLICATION DATE Job Site AddressV0VQ41",�, _3�� .n. (;,14�,,� �>b �)l.n� Unit # 1 � PROPERTY OWNER INFO: ,LAll owner Information is required - It Is not optional) Phone #� Last name_ `r\\- C—A.&A71 _ First Name 5��- Middle Street Addre, { 1 1"` �� JUG ?ity dY'\i, l-C N& State—m-k— zip CONTRACTOR INFO: Company NameContractor Phone # Lie Holder Name :S� 4e, City of Fort Collins License # E-295 Supervisor Certt # 3778-E Mailing Address `�q S � Carte ) City M0y \Ar^An� State Q.,Q O Zip _ j u S\A N-e A-) LEGAL INFO: Subdivision/PUD Filing # /Lot # t Block # Lot Sq Ft CONSTRUCTION INFO: Total Budding Sq Ft (not Including basement) 00__�%il� sCh1!�¢ otal Garage Sq Ft Residential Sq Ft Comm'I Sq Ft aati 4 # of Stones Bldg Height # Dwelling Units 161 Floor Sq Ft 2ie Floor Sq Ft 3'" Floor Sq Ft Unflished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 1/4 Baths 1/2Baths # of Fireplaces Ye Air Condltioning s o Energy info:( Circle appropriate choice) 1. ComCheck 2 ResCheck w/Air Seating 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``)--$ d noc , n _1 Descripbon of Work: 1�'�'LJ "�^ . \ Z n M �,-��V� J ra�.n�2 S5 S'tC.e�( 4e71 Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Roofing _ Solar Other Mechanical t' iz,�tImo_ Plumbing Concrete Fireplace Other Other Appilcant t hereby acknowled a 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 Fo Collin ordinances and state laws regulating building cons coon```` ��( ) aOb ApplicantSfgnatur PrintName�S1-� 4� CG r Phone 7Ib-)M Distribution, White -Office Yellow -Applicant Pink -WWW/Stonnwater rwec Aooe ererenu irvoeoe:e sari nwva eonrw Ann11 e0%A9F6,f%W nATe City of P(snning, Development and Transportation F®rt kw dh s P© Box 580 281 N College Ave Ft' Gpttins, CO 80524 97.0-221-6760 phone 970.224-6134 fax Commercial Construction Application Information Revised 0311012009 Application Number: Job Site Address: New Building _ Addition _ Remodel/TF..__Lz�— Building owner: Building owner address: t '^ S} - sic 10 - — Building owner phone A.�'� Name of Business: Proposed Use: (i.e. medical, office, bank, retgil, etc) - Project square footage: for commercial remodels & tenant finishes, pletisq answer the following questions: ➢ is the rerno finishes for an (piemg 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 inttiattenant for this unit, what v as the previous use of this tenant Space?- ➢ Are there any exterior building changes associated With the work? Yes or No if yes, please describe: Signature of a ant Date