Loading...
HomeMy WebLinkAbout3711 John F Kennedy Pkwy - Applications/Tenant Finish - 11/02/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 (06� WWW.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER iJ© { ty ( APPLICATION DATE Job Site Address `'In'. , L.J +n ` Unit # 34o PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #gj-1D - Last Name `) *r% VNII\ i Z First Name S t�ttZ kD Middle Street Address 31 l 1 � P IL �c..0A ( A'a tCity t-�.. C c) L It 1 '_j '�' State C 0 zip % C35 CONTRACTOR INFO: Company Name ( ) rJ t Ty -A �V tfDjontractor Phone # Sri o 2PL D (o Z hr Lic. Holder Name C)A 221 �—t u �J ►— City of Fort Collins License # Supervisor Cert # Mailing Address L -1 1�+°t ✓Z �J C City L-0 State CC) zip 'Z- � LEGAL INFO: Subdivision/PUD Filing # Lot #_ CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Residential Sq Ft 1st Floor Sq Ft # of Bedrooms Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Comm9 Sq Ft [ to 00 # of Stories Block # Lot Sq Total Garage Sq Ft Bldg Height # Dwelling Units 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft ppp # of Full Baths % 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 ti. Prescriptive w/Blower Door `u 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 11200 Amp ❑ Other Value of Construction (including labor, material &profit) $ Description of Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: Electrical EAe<T Q_t C_ Mechanical Prot l Ovtn 1-U fLT Plumbing o c'..je t" wi'K 8 j .jC'.. Framer 1 i vV t TjFh CO -JS 1 . Roofing w *A- Concrete N al t4— 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 o state laws regulating building congtruction. f3- �� Applicant Signa rfL a Print Name tcvaQ %L t/ f Phoneal07q0&t bC 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 Construction Application Information Revised May 10, 2000 B0707517 Application Number: -Z--,Up Job Site Address: ;5;-1 1 f- 'v-,- Q+ �,2 oct ( Unit # 2 = New Building Addition Remodel/TF T F Name of Business: AUt ClE�,jri-A C@,L%% P i 7 A I Proposed Use: (i.e. medical, office, bank, retail, etc) n Fit c';C- Project square footage: 1(ooQ For commercial remodels and tenant finishes, please answer the following: ❑ Is the remodel/tenant finish for an existing tenant or new tenant? Vv e (,.) ❑ If for a new tenant, is this -the first tenant to occupy this space? ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) ❑ Are there any exterior elevation changes associated with the work? W o L'i Describe: Signature Date �J1a I'__� H'.-'i', oc.-.,?';a- $r� Name (Please print) Local daytime phone # 281 North College Avenue • P.O. Box 580 > Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134