HomeMy WebLinkAbout1312 Blue Spruce Dr - Applications/Tenant Finish - 07/03/2008BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
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City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER -BO�O � C0 APPLICATION DATE --'5 ' O
I
Job Site Address I 1 L RI✓G SprtlLe Dlr. Unit# I
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #970- Z2 1 - 5 S Z J
Last Name I, o Y I First Name B r t, C�
f Middle
Street Address 112 131 ✓-L Sp rvCe Dr. CityFjj t_ Co ��; vL 1� State Zip
CONTRACTOR INFO: Company Name ou/yt v�""1 �'" 4F , 1^Contractor Phone # 970 - S I, % - i-4 q 3
Lic. Holder Name J e 4,ng..-r bt1 i✓i City of Fort Collins License # 0"L — Supervisor Cent #
Mailing Address PO 13o4 /.9 2 !�- City r G State C0 Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft--3T2, IS # of Stories Z Bldg Height 2.o # Dwelling Units
1st Floor Sq Ft 2 j 0 0 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft -, 2-
1
# of Bedrooms -Q' # 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 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:
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) $r -I� 000 L /
Description of Work: Can Ve ✓ I t,1^, -jr $ 1aG ua- Ce � / lJO ✓G L'y' T -i- �0 d v to
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: �„ / / , I { ,t-
Electrical) Y-f t P/9-4Ai ErLG Mechanical a_ 6> 1'ivLS grC 4AJA,r Plumbing C t1(dn 6f14V �A'611
Framer Iyiyk2'em Roofing Concrete W% Ll 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
��i��� Print Name C�� 97`t'`{ `/ !� b �'� Phone �70 �T�7, 24 r 3
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
Application Number:
Job Site Address: �� 12 RI(/r> �'�V�/Ce Unit # t
New Building Addition Remodel/TF
Name of Business: :ae Le-c- ab/e
Proposed Use: (i.e. medical, office, bank, retail, etc) F-/ %ee /�epac
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
GIs the remodel/tenant finish for an existing tenant or new
tenant? itie.
❑ If for a new tenant, is this the first tenant to occupy this
space? V� b
❑ 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? "tt'f-.
Describe:
Si na ure
,t Doak
Name (PI ase print) /
Qpu/vi 26i•1r,.��.. 1/rti C,
7 /'� Log
Date
.970-5G7-2�s�
Local daytime phone #
281 North College Avenue • P.O. Box 580 n Fort Collins, CO 80522-0580 • (970) 221-6760 , FAX (970) 224-6134