HomeMy WebLinkAbout2200 Airway Ave - Applications/Tenant Finish - 11/22/2006BUILDING PERMITS 8L INSPECTIONS DIVISION
P.O. Box 580 •Fort Collins, CO 80522r0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER J��Y/O� �'�/U APPLICATION DATE l f - a a -o (�
Job Site Address 22oo A-tye:fo Ex' Unit #
PROPERTY OWNER INFO: (All owner information is required - it is1 not optional) Phone #
Last NameFirst Name o/Y� D Middle
Street Address IS%3 'SAMIet c A Gf A City ! @oxA, State Cio Zip ZytyM
CONTRACTOR INFO: Company Name T'$D Contractor Phone #_
Lic. Holder Nam
Mailing Address.
LEGAL INFO:
Subdivision/PUC
City of Fort Collins License #
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1 st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Supervisor Cert #
State Zi
Block # Lot Sq
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/a 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 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) $ 3, O O o, p0
Description of Work: ))C^0U-n0^3 0� SKn7 ON) O•-Y p A-,-J S.+
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical `r 53> Mechanical
Plumbing
Framer Roofing Concrete 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 Fort ns ordinances and state laws regulating building construction.
xApplicant Signature Print Name 1'iu.. L: Phone 11-in . �d t Z, #(cgCZ1 i
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
uilding and Zoning D; partment
Cite of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: 22.Op A% WAy A✓cam.7 C.- Unit #
New Building Additio
Remodel/TF_K-
Name of Business: N n s' J t` ` «C--
Proposed Use: (i.e. medical, office, bank, retail, etc) osm-f =ic:E
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
Is the remodel/tenant finish for an existing tenant or new
tenant?
If for a new tenant, is this the first. tenant to occupy this
space? a o
If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) r°t%za c a—T-WA-L-,�L.
A-�
Are there any exterior elevation changes associated with the
work? N 1,Ay
Describe:
Signature
Name (Please print)
Lk t zz/ob
Date
470• S t Z. S& -o
Local daytime phone #
281 North College Avenue • PO. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-676U • tP,x (yiU) L64-WJ4