HomeMy WebLinkAbout2145 CENTRE AVE - APPLICATIONS - 6/16/2011Ct'.aV'9't 't .6668_-/oaV-A-
City COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1J� I �n�] �l APPLICATION DATE 6/16/201 1
Job Site Address 2145 Centre Drive Fort Collins, CO 80526
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 970 416-2063
Last name City of Fort Collins -Parks First Name . Middle
Street Address 413 South Bryan Ave. city Fort Collins State CO Zip 80521
CONTRACTOR INFO: Company Name City of Fort Collins Contractor Phone # 970 221-6227
Lic Holder Name Steve Seefeld
City of Fort Collins License # C 183 Supervisor Cert # 751
Mailing Address 300 West LaPorte city Fort Collins
LEGAL INFO:
Subdivision/PUD Filing # Lot #
State CO Zip 80521
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
111 Floor Sq Ft
2"d Floor Sq Ft 31d Floor Sq
Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths
% Baths '/z Baths # of Fireplaces
Air Conditioning: Ye
No�
Energy info: ( Circle appropriate choice )
1. ComCheck 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door
❑4.
Simulated Performance Alternative
5. Prescriptive w/Air Sealing
n
6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size 3/4" Sewer Tap Size Metered: Yes WINoll Temp. Pedestal Yes❑ No
Type of Heat: P1, Gas ❑Electric Electric Main Breaker Size (Residential only) W1150 Amp or Less 11 200 Amp 00ther
Value of Construction (including labor, material & profit) $ 12,000.00
Description of Work:
Installation of a green house.
Contact Name & Phone # of JOBSITE SUPERVISOR: Steven Lukowski Office 970 416-2063 Cell 970 567-7278
Electrical
Dickinson Electric Mechanical
Framer Alpine Works Roofing
Solar
r^
Gonazles Plumbing
Concrete
Other Weeks & Associates Engineering Other
Plumbing Willard Wright 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 of Fo Collin ordinances nd state aws regulating building construction. /I // ///
Appl Signature Print Name q4 Y-(', J • LJiG I /C , Phoned �) 7/p
0jl�& i4' & Distribution: White —Office Yellow —Applicant Pink — VWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION '°