HomeMy WebLinkAbout215 E Foothills Pkwy - Applications/Tenant Finish - 01/09/2008BUILDING PERMITS & INSPECTIONS DIVISION ✓//�� /
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building .q 5
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1/li./ u()D LS / APPLICATION DATE I ck 10 O
Job Site Address_ P-15 r- Unit # I it
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # l 930) ZZ (_ - 5 SS S
Last Name F-1 C0 LU�g '% First Name CyPiTI1 ILA Middle
Street Address 2i5 E rjXZk ILL �, PY vwV city 1:;� (COL-u Ns State Chi _Zip 0_5 S
CONTRACTOR INFO: Company Name T-8;12 Contractor Phone #
Lic. Holder
Mailing Add
LEGALINFO:
City of Fort Collins License # Supervisor Cert #
Subdivision/PUD Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) /' 5lp
C
State Zi
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft
Comm'I Sq Ft Z, j 50
# 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
3/ Baths /z 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: NIA
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) $ ��� CCO
Description of Work: IN-(t5zIor— HMO w -rlr'irJ d fGrµoDr-L Oi:: rE-1'A)L_ e'liprE it �Ctlibin)C�
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Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: TrI h
Electrical Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowl$Kite-Office
pplication and state that the above information is correct and agree to comply with all requirements
contained herein and City of state laws regulating building construction.
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Applicant Signature Print Name�ij ffiv plp-( Phone (zc6)
hYellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services \
Building and Zoning Department
Cicy or Iron Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: Zl 5 I_ E2czQ4►c - I tfWt Unit # I�
New Building Addition Remodel/TF �C
Name of Business: F—CMIE--7--
Proposed Use: (i.e. medical, office, bank, retail, etc) K-t-rAit_
Project square footage: Z�4q 50
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? (7---xi
❑ 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)
o Are there any exterior elevation changes associated with the
work?
Describe:
re
hAvly
Name (Please print)
T &7
Date
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134