HomeMy WebLinkAbout1600 Specht Point Rd - Applications/Tenant Finish - 10/10/2005APPLICATION NUMB
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION DATE /6 a
Job Site Address 16-�;,PrpWT RIA- � � Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional)
Last Name 0,2g )EL)-fVA?ES First Name
Street Address" �jja�r $U 41`zltJ City �� State�_Zip�
CONTRACTOR INFO: Company Name
� 11�1C0� 11EID j'�—• Contractor Phone #
Lic. Holder Name—�� ��'�`+''�-�� City of Fort Collins License # 6%s9 Supervisor Cert #
Mailing Address1me exowwAqZ�� City &oState Zip 9e30
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 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 'Y2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Phone #_
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option #s
Middle
6. Prescriptive w/Blower Door
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) $ 0.0
Description of Work:_
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Contact Name & Phone # of JOBSITE SUPERVISOR: IR 16 131A-Zl kj 25pgr -Sq � S � f 3
Subcontractor Info:
Electrical - I A IF0 T 1 MCA 1 Mechanical eAnx.E LJA Hga A- c
— I
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 Collins ordinances and state laws regulating building construction. Applicant Signature Print Name /Z 16ME/ -, Z3 Phone
tribution: 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 For Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: IrW 609654- ' A 2:> Unit # /
New Building Addition Remodel/TF )<
Name of Business:
L
Proposed Use: (i.e. medical, office, bank, retail, etc) Of:P:Iff
Project square footage: 2832
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? /J 8W
o If for a new tenant, is this the first tenant to occupy this .
space? liD
❑ If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) !DA-U 0,4�
❑ Are there any exterior elevation changes associated with the
work? /J0
Describe:
lhtewto'4L �
Signature
.A1014AEL D. 81A,ul�
Name (Please print)
/D Ia oS
Date
3o3 -.S-9I-S`913
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134