HomeMy WebLinkAbout215 E Foothills Pkwy - Applications/Tenant Finish - 06/01/2007a
City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUOLDANG PERMIT APPLICATRO 9
APPLICATION NUMBER LJ 0, �LO ✓ S-�S-0 APPLICATION DATE �/ v
Job Site Address 215 GAS-r QA(Z6c WA`( Unit #-sy2AC.E 3 - 010 -
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # '50% _ `4'66 '3R I 1
Last Name GCYrERAI- GIOUrN P(?.tlMEMGS First Name Middle
Street Address 3S CC-Hirt/U.- �R(L1Ga(Isy City $/�lC (/�Ifl= Glib State Vr Zip 8y�11S
CONTRACTOR INFO: Company Name T.i3.0, Contractor Phone #
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3`'1112Q Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft� 2q # of Stories_L_ Bldg Height # Dwelling Units
ls' 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 _
# of Full Baths % Baths % Baths # of Fireplaces
Energy info: (Circle appropriate choice) �omCheck 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 16 Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
u_
Value of Construction (including labor, material & profit) $ 1-1 I I C700 .
n
Description of Work: C01'r%e ETE TIAG— t�,XtSr-tr L- ttAHr.v=L-S 51 orLC- te.f i tSC, p1AL>--
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature � �J✓\. Print Name' f t r✓1 S Gt r l=N1G- Phone I ��'r��.097
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Envir6nmental Services
Building and Zoning Department
Cily of Fort Collins _
eem®
Commercial Construction Application Information
vis
XWO
Application Number:
0 7Re0e3a 5, S
Job Site Address:ZIS EASE FO AIWS QtaKKWAY Unit #
New Buildin
Addition Remodel/TF
Name of Business: MAWT1.1 +- 400� 1- MV.
Proposed Use: (i.e. medical, office, bank, retail, etc) REra%%.r
Project square footage: 3"
?-01 0
W
For commercial remodels and tenant finishes, please answer the following:
o Is the remodel/tenant finish for an existing tenant or new
tenant? WIEW
❑ If for a new tenant, is this the first tenant to occupy this
space? IJJ
❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If
known) FbR1Y e4k * kWb s" SA" "(KIOrmLW
❑ Are there any exterior elevation changes associated with the
work? W
Describe:
.Z' S"�
Signature
T1 m S iLgeme
Name (Please print)
61 IM 0-1
Date
1- 300-.541.0%2.1
Local daytime phone #
281 North College Avenue - P.O. Box 580 - Fort Collins CO 80522-0580 - (970)221-6760 - FAX (970)224-6134