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HomeMy WebLinkAbout1205 W Elizabeth St - Applications/Tenant Finish - 04/13/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building ia City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER -W APPLICATION DATE l 3Fd / Job Site Address /a�0,)` l%. Z& Unit # PROPERTY OWNER INFO: (All owner injfo�rmatiolS is requuiiirred - it, is riot optional) Phone # Last Name �C Ld�LCS (�,%ed' i st Name�[�� Middle Street Address i © !L 1 al / / 'Z City State CXJq Zip v 2- CONTRACTOR INFO: Company Name , � (,lfs� Contractor Phone # Lic. Holder Name Ap K eX.t. /City of Fort /C�ol�lins,Liic�en�se # Z �J Supervisor Cent # ��lA Mailing Address ��% Vl Aj J� �� City \J etyl State Zip 20 52&v LEGALINFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft I� CONSTRUCTION INFO: Total Building Sq Ft (not including basement) /� 5 Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft / /, Sd S # of Stories / Bldg Height # Dwelling Units 1 st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing Q 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: °! 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 OlJU Description of Work:JLfG�(.,� CLa1diXLCL) -.41-aj .41f&-Lu ,1Ltri' e,ttyr . cvl aA ed 4 C1�� Contact Name & Phone # of JOBSITE SUPERVISOR: ZuAl t, - —th4ow Subcontractor Info: y/Lll.C1 [CAW Electrical Iy Mechanical /V XLtG� �Plumbing / G t Framer Roofing / Concrete 6 4 / Other �^ Applicant: I hereby ackno dge that I have read this application and state that the above informatio is correct and agree to comply with all requirements contained herein and City of Fort Collins ordinances and state laws regulating building construction. Applicant Signature %) Print Name /� 1�/ S Phone aa�P G8� Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE Community Planning and Environmental Services Building and- Zoning City of Fort Collins Commercial Construction. Application Information Application Number; ..80.702221 Job Site Address:_/,:�30-1 Cv - 6�atq:7b/) '�( , l j�o� 2 0 Unit nu ber Name of Business: `lltre� �itrnao�to �,()n�Li Proposed Use: (medical office, bank, retail, etc)_ Square footage 6b,U ) . For commercial remodels and tenant finishes please answer the following: 1. Is the remodel/tenant finish work. for an existing tenant or a new tenant? LAc 2.. If for a new tenant, is this the first tenant to occupy this space? 3., If not the initial tenant for this unit; what was the previous use of this tenant space? (If known.) 5 4. Are there any exterior elevation changes associated with the work? Describe Signature L� r (s Y,ss e- -l� Name - Please Print l Y 3 /0-7 Date _off -6 . Phone (local #) -- 281North College Avenue - P,O. Box 580 - Fort Collins, CO 80522-0580 - (970) 221-6760