HomeMy WebLinkAbout1415 Blue Spruce Dr - Applications/Tenant Finish - 06/19/2008City of Fort Collins
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER_ On U v APPLICATION DATE
Job Site Address / ill S 64t,e S prof La_ jOr-- Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # °f 70
/- 22 1 — 331
Last Name 1�e+e�/�� T O First Name ,Vt Middle A
Street Address jqj f la � r(d'kc 19c / - I City �- Go14-k 5 State lA Zip 8052
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CONTRACTOR INFO: Company Name Dr. 5 GO. Contractor Phone # 2'7o
Lic. Holder Name City of Fort Collins License # Supervisor Cert #
Mailing Address Po L7(ZX 72 Zip 01 City Fo�'f C-ollln �i State L0 Zip 9�S.Z%
LEGAL INFO:
Subdivision/PUD �Vl�ct/ Giir� Pg, Filing # Lot # Z Block # 3 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft AAA
Residential Sq Ft Comm'I Sq Ft 2 $ 6v0 # of Stories 2 Bldg Height .21 r # Dwelling Units
1s' Floor Sq Ft �-� B00 2nd Floor Sq Ft Unfinished Bsmt Sq Ft NA Finished Bsmt Sq Ft N A
# of Bedrooms
Air Conditioning: Yes` No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
# of Full Baths 3/4 Baths
Energy info: (Circle appropriate choice)
4. E-Star w/Blower Door
Water Tap Size o e Sewer Tap Size g
/z Baths # of Fireplaces O
1. ComCheck 2. ResCheck w/Air Sealing
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
Metered: (9 or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp orLess ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ e6fimA-- CB51115-7 6-DO
04 /.],_,/ c3� ex S LA..r bl.,l-
Contact Name & Phone # of JOBSITE SUPERVISOR: Shur liY /� l'L s c, qi[� - r/o�p 314 3
Subcontractor Info:
Electrical fiAzl� Mechanical gjr Plumbing �Ah Gi S
Framer %%31� Roofing 0401VA4w e/ 40c 1G Concrete 66i ' rj�jyt 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 �.w Print Name jw, gel /Srs& � Phone q%Q `20 y —0/t7D
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
k Community Plan .in? and Environrrentu ervices
" x'n ` uii:1G,I2v an..; , nn^ nry L%_'p87}*21nRt
i
city of For'. C0,41H1E_,
Commercial Construction Application information
Revised May 10, 2000
Application Number:
Job Site Address: 6, RIiC5� ru�TUnit #
o ins, eo
New Building Addition Remodel/TF
Name of Business: ePP W in J — Tn ue)( L+d. LLL P
Proposed Use: (i.e. medical, office, bank, retail, etc) ic'..e�
Project square footage: .3 -00
For cercial remodels and tenant finishes, please answer the following:
5om Is the remodel/tenant finish for an existing tenant or new
tenant? ExiS+inn
❑ 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)
❑ Are there any exterior elevation changes associated with the
work?
Describe:
1JX'i i4 A. Wi 11i o-M 5
Signature
Name (Please print)
6- IB-bB
Date
67b)'o)q-()/00
Locaf daytime phone
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134