HomeMy WebLinkAbout3711 John F Kennedy Pkwy - Applications/Tenant Finish - 02/20/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522,0580 • Phone: 221-6760
www.fcgov.com/building
city of FortCoiiins BUILDING PERMIT APPLICATION
APPLICATION NUMBER�� APPLICATION DATE
Job Site Address 3711 -IylFK Park1i 5111fUnit # 310
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name FOX PO/'AL 2'QZ41%-LC' First Name Middle
Street Address 3-7/1TFK -P, ag Sfr-,2N0 City ,+ Co/k� State C0 Zip SOS2�
CONTRACTOR INFO: Company Name a= CorT1rucf7ori Contractor Phone # 970-a2/5--/S.25
Lic.. Holder Name C dw" EdeyteK City of Fort Collins License # C - SS- Supervisor Cert #-toLN- C�
Mailing Address /200 .S, tzf/lege Ale Stc -�QG City l r-f. Lo///AJ State e 0 Zip
LEGAL INFO:
Subdivision/PUD b'-CA&tmun,ft ! a gza_FT(Filing #: Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) lyie . g`%Z Total Garage Sq Ft.
Residential Sq Ft Comm'I Sq Ft Z # of Stories Bldg Height # Dwelling Units
15i Floor Sq Ft 2na Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms —�- # of Full Baths % Baths % Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing N�
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
t IT'll- 1ES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: KGas 0 Electric Electric Main Breaker Size (Residential only): O 150 Amp or Less O 200 Amp 0 Other
Value of Construction (including labor, material & p
Contact Name & Phone # of JOBSITE SUPERVISOR:
rQs�r.
Subcontractor Info: / ,,y� /
Electrical t'_C I' Mechanical �� 5%01e /n(eef l/CQ/ Plumbing /OR, I (LOW �Q
Framer
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 COIF ordinances state laws regulating building construction. QO��
Applicant Signature Print Name JLAF &W7 jArY�r" Phone .470
istribution: White - Office Yellow - Applicant Pink - WWW(Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
cicv of Fort Collins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
Commercial Construction Application Information
Revised March 6, 2006
R0900
9 .
Application Number:
Job Site Address:{37/1 SFr_ Parkway Unit # 3/0
New Building Addition_ Remodel/TF
Name of
��iycin /� yes
Proposed Use: (i.e. medical, office, bank, retail, etc) F tea Es -ha-& 6rinkel-ee.
Project square footage:.23 4
For commercial remodels and tenant finishes, please answer the following:
o Is the remodel/tenant finish for an existing tenant or new
tenant? w e-10
v If for a new tenant, is this the first tenant to occupy this
space? Ye-S
o 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? -,A
Describe:
Name (Please pri
Date
P0
Local daytime phone #