HomeMy WebLinkAbout3710 S College Ave - Applications/Tenant Finish - 04/03/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fart Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER vi -) v
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APPLICATION DATE__
Job Site Address 3710 5. C -%-t1C h t/C . Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional)
Last Name Sour&I Coo-Lt'C�t' 4Jt�•+ov LLC First Name_
Street Address ll5 9 a Q N quo C� $LDCr g
C&Afr►}crr JAY L.AET5cH
CONTRACTOR INFO: Company Name
Phone # 3Z7^gZo4
Middle
city fOA.r Cltt-LI JS' state Co _.zip RQSz�
Contractor Phone
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO•
V'
Subdivision/PUD 14 2A _ F EE ut-Y Filing # Lot # 3 k 4 Block # Lot Sq Ft SO 24 (.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 31 � 4 Total Garage Sq Ft 14A.
Residential Sq Ft Comm9 Sq Ft 31(,4 # of Stories—j— Bldg Height # Dwelling Units
151 Floor Sq Ft 4 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft 1,Y)
# of Bedrooms # of Full Baths % Baths '4 Baths # of Fireplaces
Air Condidoning: Yes 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 S
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: O Gas ❑ Electric Electric Main Breaker Size (Residential only): O 15O Amp or Less ❑ 20O Amp ❑ Other
Value of Construction (including labor, material & profit) S_ � -�S, 000
r
Description of Work P.C" t e D tZ d F !n1 i ;7g(OQ ( I PJ rS f+t--i _ IZt PI&4c.CrN r-. ] f AXr c %./ i c r.. t,L
v w ry - / ^.j rJ 4 e 1 1 NST c I AT/ J Al
1110VE-T," 4 'AIKE-i P det(_LiJ�i � �-_C,rrJ /NcrAW u)4rt12 c,,,U& &,dP
I-a►2 Sinl(c 14idZ fU rJ,�e VV - Sc xve lk r �JAL ch"r'e 4.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor info:
Electrical
Framer
Mechanical
Plumbing
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 Collins ordirpAces and to ws regulating building construction.
Applicant Signature , _ (GJ(, 19)2C If r Te2Tb
Print Name _.17d/J SN/COS Phone 4/i3-2-t77-S
Distribution: White -Office Yellow - Applicant Pink -WWW/Stomwater
Roofing
Concrete
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
6QCommunity Planning and Environmental Services
Building and Zoning Department
C_Il5'aF7Yii[(_'olli�i5
Commerci"141; �pication Information
Application Number:
Job Site Address: 3 7 f 0 S. C `4 c, c AU . Unit #
New Building Addition Remodel/TF ✓
Name of Business: we n1n y (s atj F fS rJio Al C D tf•?wtB L'/Zli c-e5
Proposed Use: (i.e. medical, office, bank, retail, etc) F!jj� 12 sT9J2A1Ji
Project square footage: 3 / (. 4
For commercial remodels and tenant finishes, please answer the following:
a Is the remodel/tenant finish for an existing tenant or new
tenant? ExisrTNir, 7nA-oir
u If for a new tenant, is this the first tenant to occupy this
space?
o If not the initial tenant for this unit, what was the previous use of this tenant space? (If
known)
a Are there any exterior elevation changes associated with the
work? rya
Describe:
Signature/
b6" SHIfus ( WC, APLC-*Ir �r)
Name (Please print)
M,tR c# Z 7 za o 7
Date —�
493- Zo L.�
Local daytime phone #
281 North College Avenue 9 P.O. Box 580 • Fort Collins CO 80522-0580 9 (970)221-6760 • FAX (970)224-6134