HomeMy WebLinkAbout838 W Drake Rd - Applications/Tenant Finish - 10/26/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
City of Fort Collinsmmmffi� BUILDING PERMIT APPLICATION 133. �j 5i
APPLICATION NUMBER f/�tE `/� L LI APPLICATION DATE 1 ,� l' Y
Job Site Address g 349 W • RoAj , Unit # 1 aS
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #CQ16 2.zZ Q532
1
Last Name N 616to" First Name C)QIJt j Middle
Street Addressyz,- -z4 N6129 City WeA I I Y)2sL On _ State�Zip Q6StI'9
CONTRACTOR INFO: Company Nar'• PI- 661C*tA-1 for t '1`oliut[ (p�+ Contractor Phone # M to � $ +!p22
Lic. Holder Name � doh h f Yt ( t 1141 U6 City of Fort Collins License # 16 3 4 Supervisor Cert #
Mailing Address Soq of&m 'MO*Z'Li Qy LjV14"lity rew+ Chi I K State 4!�,y Zip gdSZ *
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Z I I'+ S S * Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 21 144 # of Stories ( Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths /z Baths —� # of Fireplaces
Air Conditioning: ®e No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
II ��
Water Tap Size 1 Sewer Tap Size q Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ,Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less X200 Amp ❑ Other
Value of Construction(includinglabor, material
& profit) $ 60, OQ3 .
Description of Work: 1 t j�'1 IF 1 i7 t yl ' "Aj 4 (�tIL/'J i �p✓ i�7[^r-GLl' V!�/
Contact Name & Phone # of JOBSITE SUPERVISOR: 7-tl' m !YJ Ai ju de ✓-m,
Subcontractor Info:
Electrical Aj W1L�L�'� GMechanical /^may VA.11 zzat 1 ✓ Plumbing 0I110
Framer _&nlnn,J"[P�yl ofing ✓ Concrete K ti Other
Applicant: I hereby acknowledge R ve ad t and state that the above information is correct and agree to comply with all requirements
contained herein and City o�,F c� laws regulating building construction.
Applicant Signature;/ / Print Nam Phone
Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Communitv Planninu �snd Ell r ironn en tal Services
Building and Zoning :3epa�; 'i�._ its
City of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: W • Unit # 16 5
New Building Addition Remodel(5-
Name of Business: +L)✓— (✓1G .
Proposed Use: (i.e. medical, office, bank, retail, etc) IQL�a�
Project square footage: 20 d `f S S • -C7.
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? YI PLC) iU9,04,i A+ __
❑ If for a new tenant, is this the first tenant to occupy this
space?
❑ 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?ylQ__
Name (Please print)
lD Z.G 10c,
mate
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Local daytime phone. #
281 North College Avenue • P.O. Box 580 . Fort Collins, CO 805?2-0580 • (970) 221-6760 • FAX (970) 224-6:34