HomeMy WebLinkAbout2120 Milestone Dr - Applications/Tenant Finish - 10/26/2007BUILDING PERMITS 8L INSPECTIONS DIVISION /
P.O. Box 580 •Fort Collins, CO 80522-0550 • Phone: 221-6760
WWW.fcgov.com/building /
CitvofFortCollins BUILDING PERMIT APPLICATION ✓
APPLICATION NUMBER IV O ���c tJ� APPLICATION DATE I0 1.2Q to,
Job Site Address 2120 &A� Sfbyg n$ttkr na Unit # I& I
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # q16• Us. ea5b
6settNName 2t2U tA%r% T A* lAoe, `�+ret Name P*UL t46ff-NAH Middle
Street Address tm MA504 (,Y ST6 NI City 6wr &"W!; State—'0_zip FJC62"f
CONTRACTOR INFO: Company Name Tk l.[�el�fft f tt�J Contractor Phone!#1. 91(04118• PR64i
Lic. Holder Name 6&;M�16T�umag City of Fort Collins License # -ci Supervisor Cert #
Mailing Address 7-89 Oaumr- AA City FO&T ,pitl,t.wjS, State_ zip Z>05iN
LEGAL INFO:
Subdivision/PUD
Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # 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
# of Full Baths % Baths '/ 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
List appropriate option
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) $
Description of Work: An h Am tpap i TWANT MAI 10i J,,;,-, I it'd'` cx
Z I �f
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: /
Electrical 62"'Goeq �L�L
Framer n k3 eamffiMl Roofing
Mechanical A� Ct)Mlf•AIP1r Plumbing (��5 VI'L�►{tQ! EkT� q
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. ,r�, ,, O p /-
Applicant Signature Print Name GFC OF-f- Phone gIe)-Mto6
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
9% Community Planning and Environmental Services
Building and Zoning Department
@itWof FoitCollins
Commercial Construction Application Information
A lication NumbeB 0 / ®! 3 se ay 10, 2000
PP
Job Site Address: U"lIZ.F,STONF, Unit #
New Building Addition Remodel/TF '
Name of Business: 212X VAtkAsT0&Jf, LtL
Proposed Use: (i.e. medical, office, bank, retail, etc) OFfIGE
Project square footage
IMM
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? NvW i6NA0t
❑ If for a new tenant, is this the first tenant to occupy this
space? Yb5
❑ If not the ptial tenant for this unit, what was the previous use of this tenant space? (If
known) QJ(\
❑ Are th
work?
Descri
(/7�-7 -,a
ignature
Name (Please print)
any exterior elevation changes associated with the
16 •zs •o1-
Date
9�0•?,�� •4�ed
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134