HomeMy WebLinkAbout1101 Oakridge Dr - Applications/Tenant Finish - 06/28/2007=' BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER %�fo [O ` 21" APPLICATION DATE (a, "-)V,
Job Sit ddress lll)l ('JC1�«�� Cyr
ROPERTY O ER INFO: (All owner information is required - it is not optional)
Las amen First Name_
Street Address � '7z*- o
Unit #
Phone #N7D�$/)
Middle
City 1 L i'_n1 r„ State zip Po t'3(/
CONTRACTOR INFO: Company Name W
QC%Zl 9 fztci fYUYnG�_ Contractor Phone
�jQ C,
Lic. Holder NameFb��iCity of Fort Collins License #/3 Supervisor Certp#_
Mailing Address�7�� 257/L). Qn4c3%#�L1<) City Q. State (10 Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq
Total Garage Sq Ft
Residential Sq Ft
Comm] Sq FtL5,3e
# of Stories Bldg Height
# Dwelling Units
1st Floor Sq Ft 1,53
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
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 #
UTILITIES INFO:
List appropriate option #s
Water Tap Size ( Sewer Tap Size F 4 Metered: Yes or No Temp. Pedestal: Yes or No
Typeype of�t� Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Constr tion(iincluding labor, material & profit) /
Description of Work: l-IM1411,u t: e,- , e / P)1
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: n n
Electric C2t L Mechanica Plumbi Cit4n pi '4uzr //�Ll�rc�
Framer R ofing Concrete Other
Applicant: I hereby ackno e t I a e read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City rt I o dinances and state laws regulating building con truction.
Applicant Signature Print Name ICE Phone'I d
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
ievnF nrzC'�ltlns 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 221 6760 FAX: 970 224 6134
Commercial Construction Application Information
Revised March 6, 2006
Application Number: 8070421
Job Site Address: tmeef' ^cP Unit # %}
New Building Addition t^� Remode TF� �(
Name of Business: -b�2 , /t� I o'4A Ei_ e�cL
Proposed Use: (i.e. medical, office, bank, retail, etc) `-n1 r1-Yr I-Z-�_P
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? `��i_ - ,
❑ If for a new tenant, is this the first tenant to occupy this
space? NO
❑ If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) Aspie AL--
❑ Are thereAny exterior elevation changes associated with the
Name (Please print)
Z53 -07
Date
Local daytime phone #