HomeMy WebLinkAbout3711 John F Kennedy Pkwy - Applications/Tenant Finish - 03/07/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
6(-7�I�J� �07
APPLICATION NUMBER APPLICATION DATE
Job Site Address 3 �7 1 1 ::S0k)j r �C�_nv��c%t PpKy'<f Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name First Name Middle
Street Address City State Zip
7 )
CONTRACTOR INFO: Company Name 1—iC�TO� h'=1 u-N�+��ontractor Phone # �� 1Z> ! ?— r Z
Lic. Holder Name {�'« s� "/� City of Fort Collins/�1License # 3� Supervisor Cert #
Mailing Address �� �`z� 4-2,--JD 4ue City 474 State X-C) Zip 2 -
LEGAL INFO:
Subdivision/PU
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Block # Lot Sq Ft
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 % 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
List appropriate option
6. Prescriptive w/Blower Door
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)
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
d-An \
Electrical c� A,A V'f ( Mechanical t✓�I (� V /
Framer fti1ID i��IZ1�1'-5 Roofing Concrete
Applicant: I hereby acknowledge that I ha a read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo dinances and state laws regulating building construction.
�ApplicantSignature Print Name r7:(C /F)/'OG Phone 1u'Z13(
stribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
Plumbing��
THI$ APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
4�a�
CityofFortCollins I
BUILDING PERMIT APPLICATION
�OOI I OAPPLICATION NUMBER
Job Site Address( -Jf�� ✓yJ>� y �� W�; F�oo2 Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # g --O • Z Z.'2( • 9100
Last Name �GiLYVLE� First Name p ( P—O /' Middle /r
Street Address 2 5 G7 VfZ� City L oz-c-i iQ S State Zip gb Z
CONTRACTOR INFO: Company Name --ET3 D Contractor Phone #
Lic. Holder Name
Mailing Address
LEGALINFO:
Subdivision/PUD
CONSTRUCTION INFO:
Residential Sq Ft
City of Fort Collins License # Supervisor Cert #.
State Zip
Fiiz,sr e moo' t' m u N LTY �)e-TL -BA
Filing # Lot # Block # I Lot Sq Ft
Total Building Sq Ft (not including basement) 410 Z `7 Total Garage Sq Ft Comm] Sq Ft # of Stories Bldg Height_ # Dwelling Units
City.
ls' Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths s/, Baths % Baths # of Fireplaces
Air Conditioning: es 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 #s
UTILITIES INFO:
n n
Water Tap Size /I� Z Sewer Tap Size /0 Metered: Yes or No Temp. Pedestal: Yes ors
Type of Heat: R4 Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ lO Sc) 'C)252 • !a-0—
Description of Work: 16J f�R l ®2lu p �z� l b C/A I S I !►JG S�F}L�
Contact Name & Phone # of JOBSITE SUPERVISOR::i�,�;2
Subcontractor Info
Electrical C6p Mechanical Plumbing BD
Framer ::rz I? Roofing _ Concrete B P 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 Colli s ordi s and state laws regulating building conslructio
Applicant Signature Print Name RNlt E R-L TZ Phone
Distribution: ite — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
FEB-13-2007-Tu 12:34A
!'n�rnv3►itv:d'
al S
, mini and En-,4OrU entervices.
P. 003