HomeMy WebLinkAbout1809 N COLLEGE AVE - APPLICATIONS - 4/13/2009BUILDING PERMITS & INSPECTIONS DIVISION
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i P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.conVbuilding ili
City of Fort Collins BUILDING PERMIT APPLICATION
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APPLICATION NUMBER�U'IOZO� i �V"I O �0 APPLICATION DATE) 3 IO O,
Job Site Address /sKf 4&&7-9- Ale Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name First
Name Kd/�9�-/�� I Middle G .
Street Address City G%' C�C� State zip O a
CONTRACTOR INFO: Company Name /- � (. Contractor Phone # "Z- ff-a
Lic. Holder Name—&4&4 City of Fort Collins Licennsse,# /ZJ57 A_Supervisor Cert #��/
Mailing Address 1 �� ;% City le;Z, i.� State Z '- zip V5:5
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft # of Stories
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Block # Lot Sq Ft
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
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only)
Value of Construction (including labor, material & profit) $ MS
Description of Work:
Temp. Pedestal: Yes or No `
❑ 150 Amp or Le s �❑ 200 Art ❑ Otte S dS
Subcontractor Info: /
Electrical 4* Mechanical /O Plumbing
Framer C V Roofing Concrete Other
Applicant: I hereby acknowledge that I hav read this a lication and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Colli o inan s a s to laws regulating building construction.
Applicant Signature Print Name 4Phone 2�z"° • j i
Distribution: hite - Office Yellow -Applicant Pink - WWW/Stormw er
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
City of Fort Collins
Commercial. Construction Application Information
Revised May 10, 2000 0% A n 2
0 0 5
BOYU2
AppPiCaVoioln2umber: Q n o n 9 n 2
Job Site Address: ���'• &de 6-WA4':, Unit #
New Building Addition Remodel/TF
Name of Business: 4PW17164
Proposed Use: (i.e. medical, office, bank, retail, etc) 04�G
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenanj fjpish for an existing tenant or new
tenant? IgF�11 /-""
❑ If for a new tenant, is this the first tenant to occupy this
space?
o 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?
Describe: 077.E 12
7,
Signature Date
Name (Please print)
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134