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HomeMy WebLinkAbout807 Marble Dr - Applications/Basement Finish - 01/14/2019I .. Asi City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Flirt Collins 281 N. College Ave. •Fart Collins, CO 80524 •Phone: 970.416.2740 • www.fceov.com/buildine BUILDING PERMIT APPLICATION FOR OFFICE USE I 4PPLICATION NUMBER: I q U(� APPLICATION DATE: Job Site Address —cKO-7 =©2 , Unit# PROPERTY OWNER INFO: (All owner information is required — NOT optional) Last Name /j1/j/(��{�l�s First Name Middle Street Address !Ty /�, ,9 City LL State �-Zip js a� Phone # / %C)Y � d & 9C / Email y L,Q�/1 C(/ S o �% �L- Name of Business (COMMERCIAL USE ONLY) 1=`� CONTRACTOR INFO: Company Name C r CS Zc�s i , License Holder Name LIC # CERT # LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft. Residential Sq Ft Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft / 65— Finished Basement Sq Ft 7 a # of Bedrooms # of Full Baths Baths / Yz Baths # Fireplaces ENGERGY INFORMATION: (CHECK ONE) ComCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑ Prescriptive❑ Alternative) Air Conditioning? YES ❑ NO ❑ City of Fort Collins Approved Stock Plan # SPO List Option #s UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) For Commercial remodels and tenant finishes. please answer the followine auestions: Is the remodel/tenant finishes for an existing or new tenant? (Please check one) ERI(Energy Rating Index) ❑ ❑ No ❑ ❑ Other ❑ Existing Tenant❑ New Tenant❑ If for a new tenant, is this the first tenant to occupy this space? Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space? Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No If yes, please describe: Value of Construction (materials and labor): Description of Work: / &w. JOBSITE SUPERVISOR CONTACT INFO: Name Phone q1>0 SUBCONTRACTOR INFO: Electrical / Plumbing &,l(4�: �L�yJ/jX�C, Framing al -SC. Roofing Fireplace Solar Other ASBESTOS STATEMENT DISCLOSURE: in accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a remodel permit shall indicate their awareness about their property having been inspected forAsbestos Containing Materials (ACM's). I do not know if an asbestos inspection has been conducted on this property. ❑ An asbestos inspection has been conducted on this property on or about (enter date) ❑ An asbestos inspection has not been conducted on this property. 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 her in a ity of Fort Collins ordinances and state laws regulating building construction. Applicant Signature Type or Print �II/� Phone # ( / Email (/() THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE