HomeMy WebLinkAbout900 E PROSPECT RD - APPLICATIONS - 4/11/2007BUILDING PERMITS & INSPECTIONS DIVISION
l , , 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 Ca (U �/ APPLICATION DATE �- ` / D
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Job Site Address "SOD L, P 1Z O s PF c R D Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # q0 Y- Yo 57,5
Last Name FiRSi j ,AP-rl $7 /1H,/K(:4st N
Middle
Street Address ?00 F PROSPFCrT Rp City Fi . CO State CO Zip &OSZ
CONTRACTOR INFO: Company Name Ct 0, t4#AT /'oAJ57120c'io#Contractor Phone # 77O -z9(7 -; ?-33
Lic. Holder Name CL, I FF O k0 1{, /f R (Z-r City of Fort Collins License #z! 1-5 7 Supervisor Cert #
Mailing Address 640c( 4COA014< ko City P �. CD L,L/,-es I State L D Zip 8405 2�i
LEGAL INFO:
Subdivision/PUD
Filing #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories--A--
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
Lot # Block # Lot Sq t(�
Total Garage Sq Ft -
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths % Baths /1 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
UTILITIES INFO:
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
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Value of Construction (including labor, material & profit) $ 3,41000 _
Description of Work: F) DT) k U U ,Nkcr E 91 T/' i-1 E' R /i-( R DO t�4
FxiSTi6(G- R00C,+(-114 ( 40AeIr4/ G )-YDI B U5t-o
F K (s 7-r/4jS- 6-12Q r+ A i C,-HZ:a'LG 7-8 9 EA,( 4 IA.(
takt=CM(cA�(. 4NEL.5 Ta Ste )SXQ UE TO At,JA ;C�:e-tT W,41,L
Contact Name & Phone # of JOBSITE SUPERVISOR: /a E42 23 HA T M 7 -a933
Subcontractor Info:
Electrical IN 6 S.51 P—: L(=t'i Mechanical P40tmm V4k11.2--V 14iAt Plumbing (J62PdRA rC- P 441A00
Framer d',14 1R Alj- Roofing 1�} Concrete Other A10 ht F
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. �9
Applicant Signature wignePrint Name 0-4 1-PEG Ab Ef . /i A-4- Phone oR
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
80702180
Application Number:
Job Site Address:_gOO C--; Pi OSF�Cr RP Unit #
New Building Addition Remodei/TF X K(TcuEx
Name of Business: F+ RST BA--P i l S T- C 0U RC H
Proposed Use: (i.e. medical, office, bank, retail, etc) CHORC H ffCT+V17'1fS
Project square footage: L so F r'
For commercial remodels and tenant finishes, please answer the following:
o Is the remodel/tenant finish for an existing tenant or new
tenant? E>XIS-rlgG-
❑ 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) C k4sS KQOhn
❑ Are there any exterior elevation changes associated with the
work?. YFS > (ptorz r(o d(ncDo"J a(2
Describe: VE&L-C a6OD Fog RAYtC-E YFr-f,T
Name (Please print)
-/tO --Aao7
Date
al7-act33
Local daytime phone #
281 North College Avenue • PO. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134