HomeMy WebLinkAbout2120 Milestone Dr - Applications/Tenant Finish - 05/13/2008BUILDING PERMITS & INSPECTIONS DIVISION �lCJ
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 4" "0; ` 1 APPLICATION DATE : , /S `) "
Job Site Address )0 4/4.5.57 A.)r. -NJ�! Uniitt/# 1070a
PROPERTY OWNER INFO:. (All owner information is required - it is not optional) Phone # &i V\ a — &56
Last Name /TOF�`%f i4tU First Name QA04- Middle ! �
Street Address ib5— `1a6ew !�4- City t&4-C011 [w5 State efo zip 2�S,Wr �7
CONTRACTOR INFO: Company Name -RI?W4A4Aku &A4) 9 to#j Contractor Phone # 9%O -o7-U�% �l
Lic. Holder Name iPir-W4- Rlewr-AdAA1 City of Fort Collins License # Supervisor Cent #
Mailing Address .31WLI 011AQP4"y & '?c2t)City X-7i� CdG<«s State CCU Zip SOSos,
LEGAL INFO:
S
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 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % 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 #
UTILITIES INFO:
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) $ - /r ,;t = qZ t-'i )
Description
Contact Name & Phone # of JOBSITE SUPERVISOR:F/
Subcontractor Info:
Electrical l (�� Mechanical t �� Plumbing
Framer ( J� Roofing 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 ord nd state laws regulating building construction.
Applicant Signatui L Print Name --� <`y ��� Phone
Distribution: White - Office Yellow - Applicant Pink - VWVW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice; 970 221 6760 FAX: 970 224 6134
Commercial Construction Application Information
Revised March 6, 2006
Application Number: 80802979
Job Site Address: a� /`l�� c.�1� ° Unit #
4��
New Building Addition Remodel/TF ZQ
Name of Business: /
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodeel/tenant finish for an existing tenant or new
tenant? t JC�ctr
❑ If for a n
space?_
is this the first tenant to occupy this
❑ 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?
Describe:
Signature
Name (Please print)
Date
P67- 9st(
Local daytime phone #