Loading...
HomeMy WebLinkAbout1044 W Drake Rd - Applications/Tenant Finish - 06/08/2007BUILDING PERMITS & INSPECTIONS DIVISION R EO. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 IIIIiii www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER V/ [9 9\/r11 — 1 APPLICATION DATE ill � / O --V Job Site Address �� qV / UV eST Q ref,ke- koo. [^ Unit # ( ��— PROPERTY OWNER INFO: owner information is required - it is not optional) Phone # `l7-6- 3SZ - &1y00 Last Name �Gtrl/L d) /(All First Name Middle Street Address 37V90 W • to City ilf,,trcelf jj Statelfa Zip 8C43`/ CONTRACTOR INFO: Company Name fibcikc Covt p/rkc fors Contractor Phone # 97-0 - 35 r9 - 3 6 11 Lic. Holder Name City of Fort Collins License # Supervisor Cent #. Mailing Address 3% t 7 I ? NNE • City ire State C-10 Zip S643Y LEGAL INFO: Subdivision/PUD Filing #. CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Lot # Block # Lot Sq Ft Total Garage Sq Ft t It Residential Sq Ft Comm'I Sq Ft i (�Y # of Stories Bldg Height32- 912 # Dwelling Units 1st Floor Sq Ft 5 $ 2nd Floor Sq Ft S, ��� Unfinished Bsmt Sq Ft Finished Bsmt Sq FtIF _ # of Bedrooms # of Full Baths % Baths /z Baths # of Fireplaces Air Conditioning: ItsNo 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Energy info: (Circle appropriate choice) 1. ComCheck 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing List appropriate option #s 2. ResCheck w/Air Sealing 6. Prescriptive w/Blower Door 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 !yV(Ressiideentiia,l only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ ?u "(C , co Description of Work: -esi4 n 40 SmcorteC Poor p�lt'-rce 5P4ee . Lvo2ic �,, it L 13E Ae,Gr o/!-11CM ©iu P.xr� i>itq ro/ C aw Contact Name & Phone # of JOBSITE SUPERVISOR: ec il- l n M&-p %qer • 9.0 - 35d - 346 l Subcontractor Info: Electrical Framer Roofing Mechanical /1@Iuft�Sn f 7_ Concrete U / 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 opdinances d state laws regulating building construction. Applicant Signature Print Name R. 146-I SW �r— Phone 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 Commercial Construction Application Information Revised May 10, 2000 Application Number: Job Site Address: l e)uy )AksT b a,+)Le Pk Unit # New Building Addition Remodel/TF ✓ Name of Business: Sari i— o; 0-61r—C Proposed Use: (i.e. medical, office, bank, retail, etc) bank. 4o-r4;ce Project square footage: 583-7 s F For commercial remodels and tenant finishes, please answer the following: ❑ Is the remodel/tenant finish for an existing tenant or new tenant? )f If for a new tenant, is this the first tenant to occupy this 12c space? cS $© will occKPtn some of" *,t sva.ce gore W rV. Cw. new 4-eh of Td t9 . .o If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) o Are there any exterior elevation changes associated with the, work? /\/0 Describe: 6 0 �- Signature Date If - lvea.l SW %7-� Name (Please print) ' 776-356-39// Local daytime phone # 80703637 281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0380 • (970) 221-6760 • FAX (970) 224-6134