HomeMy WebLinkAbout4620 S College Ave - Applications/Addition or Alteration - 02/08/2018CCCity}of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�` Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 0 1 60 9 4qD APPLICATION DATE
Job Site Address 4620 S. College Avenue Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 303-825-3434
Last name Quest Corporation d/b/a/ CenturyLink First Name Middle
street Address 931 14th Street, Suite 103 city Denver
CONTRACTOR INFO: Company Name TBD
Lic Holder Name
Mailing
LEGAL INFO:
subdivision/PUDFairway Estates
State CO Zip 80202
Contractor Phone #
City of Fort Collins License # Supervisor Cent #
City State Zip
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths /, Baths # of Fireplaces
Air Conditioning: YeGoP Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing El 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes 0No� Temp. Pedestal Yes❑ No
Type of Heat: DGas1-1 Electric Electric Main Breaker Size (Residential only) E-1150 Amp or Less 11 200 Amp Other
Value of Construction (including labor, material & profit) $ 15,000.00
Description of Work:
AT&T is proposing to replace its existing antenna mounts with new low profile mounts. Three (3) existing antennas are to be
removed and replaced. Six (6) new RRU. two (2) new power and one (1) new fiber trunks and one (1) new surge
ci lrrrpccnr are to hp inctallari
Contact Name & Phone # of JOBSITE SUPERVISOR: TBD
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
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 F rt Collins ordinances nand state laws regulating building construction.
Applicant Signature �bt� Print Name Tom Walker Phone 720-450-3013
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE