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HomeMy WebLinkAbout4501 S LEMAY AVE - APPLICATIONS - 11/14/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fegov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER III APPLICATION DATE �I Job Site Address Ayf,. Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last name s hi+CFJ God L Ca�:Z'A C43 Na f' Middle " Street Address �5 GI 5 �v.,2�.t A orn. City - Lc �-li l s. State Cc+ _Zipgo S" CONTRACTOR INFO: Company Name APC4., Contractor Phone # Cf `7C 5 r % ST 3! Lic Holder Name d S� %f/ic� (� City of Fort Collins License # L) -106 Supervisor Cert ## Mailing Address o Y�i Y v1'' Gt f G �ti� J 1` i YP� City f-1- 6, jfr ✓r 5 State �/ Zip ijcs_, — LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 15' Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft 31d Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths /2 Baths # of Fireplaces Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: List appropriate option #s 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) $ /ZCrC'.!!t- Description of Work: 04.dI 011(� ryeyc /3 S9ke-r� Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical Framer Solar Roofing Other Mechanical Concrete Other Plumbing Fireplace 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 ort/Collins jordinan�iand state laws regulating building ,cjonstruction. Applicant Signature 4YlZ* 4 R � Print NameAkwk . '�O• R'lr a ,"e Phone ?gyp S-J4!� z ge'l Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THUS APPO.ODATO®Od EXPORES 180 DAYS FROM APPO.00ATO®H DATE City of Planning, Development and Transportation Fort Collins PO Box 580 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134fax Commercial Construction Application Information Revised 03/30/2009 Application Number. ?DI I V 0 3 Job Site Address: �5-0 � � � A-ve New Building Addition Remodel/TF Building owner: ► o-ta- J o �,j Building owner address: ys ©/ - Building owner phone #: Z�3 � 5-3 i, s� Name of Business: Proposed Use: (i.e. medical, office, bank, retail, etc) C4vt,,7A Project square footage: For commercial remodels.& tenant finishes, please answer the following questions: ➢ Is the remodel/tenant finishes for an (please circle answer) existing tenant - or new tenant? ➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No ➢ If not the initial tenant for this unit, what was the previous use of this tenant Space? ➢ Are there any exterior building changes associated with the work? Yes or No If yes, please describe: . /// te Signature of applicant _A k/ t� ©. 9"me- Name (please print) Date Local daytime phone #