HomeMy WebLinkAbout4144 S TIMBERLINE RD - APPLICATIONS - 5/9/2005a BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www. fcgov. co W building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER `✓ �� / 1 APPLICATION DATE ✓ J
Job Site Address
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970-- & 71- //
Last Name 170t 1DVV(%y'%U' f. (.h/f7S�- First Name s,&Qzj %`7V17 (,Qjt17S Middle
/.2 Street Address t.� City, / �o —State-.ZiP
CONTRACTOR INFO: Company Name �/%�%/%% (l�1%Sl�, Contractor Phone # CO 7i�'��0
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address /2/ 8 Al ArSf City ► ir7 � Y State Zip
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LEGALINFO: '/ %
Subdivision/PUDy�/(%%6/�(� r/�l("('� Filing # i%yb Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) %0
Block # 9 Lot Sq
Total Garage Sq Ft
Residential Sq Ftt/ Comm'I Sq Ft. # of Stories Bldg Height # Dwelling Units _
1st Floor Sq Ft ? 6 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq F
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: <i�D No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-f AIM
w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
A City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Qesbr No Temp. Pedestal: Ye or No
Type of Heat: *as ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 480,%ry
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: �—rlm Sollozzo - 970 -310 -6705Z_
Subcontractor Info:
Electrical 61019 ���//(� / Mechanical J% `r��)/+//+p/�,l/ S !I�' Plumbing
Framer/UI'YJG/r i�S7/'/L��(yFRoofing ✓✓ Concrete — Other
Applicant: I hereby acknowledg at I have re this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F Collins ordi ces an to laws regulating building construction.
Applicant Signature 9 nature
Print Name %//77I�L�= Phone 9703/ -1�SZ
Distribution: ffice Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICA EXPIRES 90 DAYS FROM APPLICATION DATE
City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
80502137
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: -111�� /;;WI 1117(, led. Unit #
New Building Addition Remodel/TF t--�
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) /271i/ OChr11
Project square footage: l l.�
For commercial remodels and tenant finishes, please answer the following:
o Is the remodel/tenant finish for an existing tenant or new
tenant?Je�c)
❑ If for a new tenant, is this the first tenant to occupy this
space? VAS
❑ If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known)
o Are there a
work?_—,z
Describe:
exterior elevation changes associated with the
Date
nature 117
-04
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