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HomeMy WebLinkAbout2211 S College Ave - Applications/Tenant Finish - 07/11/2007R �X BUILDING PERMITS & INSPECTIONS DIVISION EO. Box 580 • Fort Collins, CO 80522r0580 • Phone: 221-6760 WWW.fcgov.com/building citYofFortcou;ns BUILDING PERMIT APPLICATION APPLICATION NUMBER V 1 APPLICATION DATE 9 - I I ©l Job Site Address Z211 4jcKAk1,\ (oLAcbe &\ Un.^i�t S0# � PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 7 d 3 - Z411 _ 5 It, I Last Name R(-._\:�P77jiDC: First Name MC Lx!g; r Middle Street Address *2A -( S1 City D4-,WCXZ. State_CO Zip A4V-02- CONTRACTOR INFO: Company Name I f✓ D Contractor Phone # Lic. Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address City State Zip LEGALINFO: Subdivision/PUD Filing # Lot # Block # 'Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) L—I�.7 t 42� Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _ # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # 4. E-Star w/Blower Door UTILITIES INFO: N/A Water Tap Size Sewer Tap Size 5. Prescriptive w/Air Sealing List appropriate option Metered: Yes or No 6. Prescriptive w/Blower Door 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 (incAding labor, material & profit) $ Description Contact Name & Phone # of JOBSITE SUPERVISOR: Tl7 iZ Subcontractor Info: , Electrical A' 1/ Mechanical Plumbing Framer NA Roofing N /A Concrete NLA 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 WQM 1. Print Name V IA I�Q W r t f�GjVL"'� t d Phone�Io'Z�� �'✓Z 1 Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE Community Planning and Environmental Services Fort Collins Neighborhood dl Building Services City of Fort Collins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134 1 Commercial Construction Application Information Revised March 6, 2006 lINSw.s►L Application Number: Job Site Address: 22ji 5og:t� C l�4 &4,F nit # 50 New Building Addition Remodel F Name of Business:_ o\(. Proposed Use: (i.e. medical, office, bank, retail, etc) DH-I .vim Project square footage: _ VA INb-©i:!) For commercial remodels and tenant finishes, please answer the following: ❑ Is the remodel/tenant finish for an existing tenant or new tenant? 1PXtS-s1t4& ❑ If for a new space?V nt, is this the first tenant to occupy this ❑ If not the initial tenant for thi� gnit, what was the previous use of this tenant space? (If known) �- ❑ Are there any work? Describe: I Il ,1,:rtl i At l ...� _' ��tc�R�Zi� K�tiS Name (Please print) elevation changes associated with the Date (3LO 2-0- 357-Ll 'Local daytime phone #