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Home My WebLink About903 BUCKINGHAM ST - APPLICATIONS - 1/9/2009BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER B cl` O o Is—/ APPLICATION DATE '9 J ANUA2y 2�09 Job Site Address G03 'Ba0- jNE+HA-NI Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Last Name C-�6 I iq uesTM c-m T-,� u-0- First Name Phone# 9%0--530-2b9n Middle Street Address 14-66 FSi^ M tti-pi 2 q City Fo- 2T rbW N �' State CO Zip 2-06 7-+ CONTRACTOR INFO: Company Name Lic. Holder Name Mailing Address LEGAL INFO: Contractor Phone # City of Fort Collins License #_ City Subdivision/PUD VAN LOOPk!5- Filing # 5iFC©NN Lot # 1 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 060 Residential Sq Ft Comm'I Sq 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2nd Floor Sq Ft State_ Block # Supervisor Cert # Zip Lot Sq Ft Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units _ Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Full Baths '/4 Baths '/2 Baths # of Fireplaces Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door , List appropriate option #s (� Water Tap Size� Sewer Tap Size 4 « Metered: Gor No Temp. Pedestal: Yes or No Type of Heat: O/Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ 1961 , (p,3Q, ai�' Description of Work: HQV INI-r �i.L' I P-Af- CID Contact Name & Phone # of JOBSITE SUPERVISOR: O.Lkg.le-:, 7L-bBRZyQd '9710 -4'30 - C(90(, Subcontractor Info: Electrical Framer Roofing Mechanical Concrete Plumbing 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 ns of ort Collins ordinances and state laws regulating building construction. ` nstrructionn.. � � C Applicant Signature Print Name Nr �t\TTJJ;��l GAOAW I Phone'q-70-999 _(to119J Distrib io White — Office Yellow — Applicant Pink — WWW/Stormwater T S APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE Commercial Construction Application Information Revised May 10, 2000 QO900 15 1 Application Number: Job Site Address: Unit # New.Building Addition Remodel Name of Business: GT6 P NJVESTMENTs Proposed Use: (i.e. medical, office, bank, retail, etc) T �n rF[C.E I- Project square footage: oon Ica, For commercial remodels and tenant finishes, please answer the following: o Is the remodel/tenant finish for an existing tenant or new. tenant?x(S�-��- o If for a .new tenant, is this the first tenant to occupy this space? ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) W�Froc��c ❑ Are there any exterior elevation changes associated with the work? YE6 Describe: 3 oUeP t EAb 5mp> Signs ure Name (Please print) � O Date g7D -qgS-1019 Local daytime .phone # 281 North College Avenue .• P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134