HomeMy WebLinkAbout7 OLD TOWN SQ - APPLICATIONS - 2/20/2008BUILDING PERMITS INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, COC80522r0580 • Phone: 221-67ti0
(m6�� www.fcgov.com/building
CityofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER AtIRIQ141070 APPLICATION DATEy O
j7
Job Site Address 4? Ut'Vf4iq !J cJ v � Unit #
PROPERTY (OWNER INFO: (All owner information is required - it is not optional)
Last Name Pro!! .Z5<'k;' e 01-P 7b4y--!54kaam Li
Street Address htS-OL 2W /City T c"�/ T �����i�� State ZCJ Zip <95 Z `
CONTRACTOR INFO: Company Name r Contractor Phone # ��C2
Lic. Holder Name �i( 1 r �Sv» City of Fort Collins License # C/'- 2 7 Supervisor Cert #
Mailing Address ��2 �i, iv �Z La=-L: City /S-G`/�Aat State �C% Zip
LEGAL INFO:
Subdivision/PUD Filing #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) _
Phone# /O V-"2 J
Middle
Lot # Block #-4— Lot Sq Ft
9 -7 L/ Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 917 # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms # of Full Baths 3/4 Baths '/z Baths # of Fireplaces
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
Water Tap Size Sewer Tap Size
List appropriate option
Metered: Yes or No
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $ fa'P�Q- 4510
Description of Work: Kt 4kee i'?C (P)(rS7it;n ��'ru I( 113.E
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
/ n ss
Electrical f rO•� Pv-r" Mechanical �+!' ��:,,..� -t-- Plumbing
Framer
Roofing
Concrete
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 Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Print Name �) i Ssr Phone
Distribution: White - Office Yellow - Applicant P nk - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
F Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
City or Fort Coll us 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
Commercial Construction Application Information
Revised March 6, 2006
Application Number:
Job Site Address: #7 0i j) Zgg Unit #
New Building Addition Remodel/TF
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) Pr5k,,.r,>.4 11311—
Project square footage: TS 2 Y
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? ;2` X, s 27L-2
❑ 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)
❑ Are there any exterior elevation changes associated with the
work? A9
Describe:
�(ature
Name (Please print)
Date
�/ ° - 99� Y
Local daytime phone #