HomeMy WebLinkAbout4532 Boardwalk Dr - Applications/New Commercial - 10/19/2007 (2)ti BUILDING PERMITS & INSPECTIONS DIVISION
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 V/ / / APPLICATION DATE
Job Site Address 1/ 5 3 Z C%. 8o0Lra(&u4d1e- d2. Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name L3ar1 k o< �i�oi First Name Middle F 5 Z Gyoo
Street Address 3-750 w . I-/. City C 1leole-ft State CO Zip 8c6-3
CONTRACTOR INFO: Company Name 10QD1/- l.��Fs{/kC Drs J>r ontractor Phone # 97-ly - 3 56 -36 11
Lic. Holder Name Ca f / 'n ^/a.r'71�% er City of Fort Collins License # Supervisor Cent #
Mailing Address 361 Ah-eaut- City 61eeeleo State ('O Zip X663y
LEGAL INFO:
Subdivision/PUD Filing #4"'14 Lot # Block # /` * Lot Sq F4
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ! Z� ieo Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 12 $�U,/ # of Stories 2—Bldg Height N #Dwelling Units �¢
1s' Floor Sq Ft 2nd Floor Sq Ft S / 7S Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths Y: 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 # List appropriate option #s
UTILITIES INFO:
/� rt
Water Tap Size Sewer Tap Size / Metered: Or No Temp. Pedestal: Yes or No
Type of Heat: PCGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 3_ YQ� e4 2
DescriptionofyVork: _a — 57(drg bet_vllc. 6G4.' /0Unot C-LKeA e�SScv r`cc.1 Si ewe('
Contact Name & Phone # of JOBSITE SUPERVISOR: �ur�r ��T 2!� Pr 3t9 �3S(p �SYZ�
41i C!_
Subcontractor Info: �toTt CmFC S f.
,t-..q o w n P�/or iO rmp+,
Electrical u"+ Mechanical Plumbing C4-du
Framer Roofing l t,4- _ is Concrete (�G✓���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 ordin noes and state laws regulating building construction.
Applicant Signature Print Name e, /yeq ` Sw"�11A Phone 970-35a-3G /1
Distribution: hite — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE