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HomeMy WebLinkAbout2211 S College Ave - Applications/Tenant Finish - 05/04/2007\1 BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 W W W.fcgo V.Com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER 1 �`' V V 13 APPLICATION DATE / _` 7 Job Site Address Q.�l // S©. Cc !1 e:3,e Unit # j00 PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 3 0 3 - 9-9 f --i 1 1( © 2-" C Last Name t(AliVCRs;Ty Ce/vlet First Name ^ Middle Street Address 3 ?- D Z , -I10r2 1 d A P V, if city /./PNV "t_i?- State CO Zip B'm11 O CONTRACTOR INFO: Company Name W R f Q h T bA l/A+'J CDNS r Contractor Phone # Lic. Holder Name J60 Q iiSh- I#kJ City of Fort Collins License # C 1- s Supervisor Cert # Mailing Address <o $Z.l 4p'"N OR f'oe City 10ttT Ca I//NS State C Zip e_V' LV LEGALINFO: cb Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft /S,.S1fa # of Stories Bldg Height # Dwelling Units 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft r, # of Full Baths 3/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 Water Tap Size Sewer Tap Size List appropriate option #s z� 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 q� Value of Construction (including labor, material & profit) $ Z's-0, coo r�x Description of Work: TeA1-9N I Z l" i a Contact Name & Phone # of JOBSITE SUPERVISOR: IJO Q & ll& e S—(o ro" YY2_7 Subcontractor Info: Electrical IJR{IiA')3 � Mechanical Plumbing C- +W PZ14 A DIA-�g 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 doff FortCollins ordinances and state laws regulating building construction. Applicant Signature i,-�o-(46t&L4 Print Name &/3 03,4 )449d Phone S yyL / ry Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE Community Planning and Environmental Services Building and Zoning Department City of Fort Collins Commercial Co ��§§ttj p i tion Information Application Number: Job Site Address: 2- zi 1 so, cc r/ P.g e Unit # 1 mo New Building Addition Remod /TF / Name of Business: (3,a -71 e Sorw-rt.,f o 6ie0 (s Proposed Use: (i.e. medical, office, bank, retail; etc) /Z-e Project square footage: )s, S /6, For commercial remodels and tenant finishes, please answer the following: o Is the remodel/tenant finish for an existing tenant or new tenant? /yP cc-' Te&A,✓1 _ o If for a new space? 4 Cl? ant, is this the first tenant to occupy this ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) A/o']` /��/yow- o Are there any exterior elevation changes associated with the work? A 14 Describe: Signature Aale (3cf-(I C an_ Name (Please print) os- -o4/-0 -7 Date Local daytime phone # 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134