HomeMy WebLinkAbout3555 STANFORD RD - APPLICATIONS - 6/25/2008BUILDING 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 lJ " v� APPLICATION DATE
Job Site Address Unit # 2,6n
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 5tQ -Z-Z/, —/ / / 7
Last Name ( ✓1 ✓ i e Middle
Street Address -{ 57W n Q_rq>N City}` '7' ( `-I/�%%� Stateco--Zip
CONTRACTOR INFO: Company Name Contractor Phone #
Lic. Holder Name //'' vZ� 7 /Soh City of Fort Collins License # �_z % Supervisor Cert
Mailing Address `7% City�)�� State_ Zip
LEGAL INFO:
Subdivision/PU
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Corri Sq Ft # of Stories
1s' Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
Total Garage Sq Ft
Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/< 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 nll
Kl
City of Fort Collins Stock Plan # List appropriate option #s
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
Value of Construction (including labor, material & profit) $ / (%J -3/ (ne)
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: ��lQ/.IaJI/ /N1 /tSi
Subcontractor Info:
Electrical f(/0 Mechanical zl J Plumbing zt�S��u
Framer d /� 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 Name r Phone t
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
,u
Fort Collins Neighborhood & Building Services
r::icv nt F rec_ol� ns 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:
0
Job Site Address: �5�� ���9i�1� >�O Unit #
New Building Addition Remodel/TF
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: S 7-
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/ —pant finish for an existing tenant or new
tenant? ! �r�✓
❑ If for a new tenant, is this the first tenant to occupy this
space? )4n
❑ If not the initial tenant for this uni hat was the previous use of this
tenant space? (If known)___,
Are there any exterior elevation changes associated with the
work?
Describe:
Sjgr6fture
lip
Name (Pl6ase print)
Date
Local daytime phone #