HomeMy WebLinkAbout135 Bockman Dr - Applications/Tenant Finish - 03/30/2006BUILDING 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 JJ�l- G f � I I APPLICATION DATE — 30 — 0(�
Job Site Address 155 . � 1<m � ,/�� F, .�`L;,� ; Cli S Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name C-6 First Name .D/� V/0 Middle
Street Address_ S % L f G/ }� �7 /�/� City 19'ZA1W State_L� Zip 7�r�
CONTRACTOR INFO:: Company Name LAW /O/`PAAlY, /2e, Contractor Phone # JAY--•0"
Lic. Holder Name,��4/li-lUX S /� ��W22 City of Fort Collins License #, Supervisor Cert #
Mailing Address 34,5 f?/!/EX!/,f�j�/ TL-" . 3�0 City W/CiyjTi¢ State Zip 6';7.205
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 7�5� Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories_ Bldg Height ��=(i�� # Dwelling Units :J
1st Floor Sq Ft -1? w 5 2nd Floor Sq Ft % Unfinished Bsmt Sq Ft � Finished Bsmt Sq Ft /
# of Bedrooms # of Full Baths / % Baths --- % Baths /" # of Fireplaces
Air Conditioning: es No Energy info. (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
5. Prescriptive w/Air Sealing
List appropriate option #s
6. Prescriptive w/Blower Door
Water Tap Size 2�Y/ST//ill� Sewer Tap Size L A11 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) $ 1,� ��
Description of Work:
.i-tl"W��/ "T i S ivy /wroz 4Z-i:. "Z- w� �, � �s/�✓
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete Other
Applicant: I hereby acknowledge that ve read th' application and state that the above information is correct and agree to comply with all requirements
contained herein and ' of Fort Col' /ordinance nd state laws regulating building construction. z r� 2
Applicant Signature v Print Name% �AfJor,G�RoPt iD1� Phone cJ16-�i6�""e�J�
Distribut' . White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
MAR-24-2006-FRI 11:54 AM
P. 005
C❑mmurdty Planx-Ling and Envixon.ental Services
Building and Zoning diet artment .
Commercial Construction Application Information
Revised May 10, 2000
Application Number;
Bo601341.
Job Site Address: / � � 1)r Unit #
New Building Addition Remodel/TF i<
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) z�;�Z-
'Project square- footage;
For commercial remodels and tenant finishes, please answer the following;:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? YEVI 7iYT
o If for a new tenant, is this the first tenant to occupy this
space?
Im
If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known). RZ- 7 &-
a Are there any exterior elevatlop changes associated with the .
work? tn,e,�.�-r•r'�rcc
Describe:
Name (Please print) Local daytime phone #
M Forth College -Avenue • PO. Box 580 • Fort Collins, CO 8052 ,0580 • (970) 221-6760 FAX (970) 224-6134