HomeMy WebLinkAbout323 W Drake Rd - Applications/Tenant Finish - 05/26/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER k/ APPLICATION DATE_ ��&_
Job Site Address 3Z3 Fo.Ao Fr CoLW"S 9?65?.blJnit# 201- ,Zog, Z12
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 9tt
70. 2 3,z , ($O
Last Name 11/AJ&S First Name -/Ar 1eS Middle
Street Address 900 pA4Rk�/lGW -D&,t /C Cit Go(-U-'S c� State GO Zip 0525
CONTRACTOR INFO: Company Name iei�/�Iriv�y �NsT/L Contractor Phone # / %O , Z4 0.7.5 y I
Lic. Holder Name 4921k,0iA N PiQ u(, City of Fort Collins License #. 8 3 6 Supervisor Cert #
Mailing Address /3 /5 oAk,erny6 &Olt,# /00 Cityer Co'-5 State Zip 905 ZS (�
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �gJ �d O Total Garage Sq Ft
t
Residential Sq Ft Comm'I Sq Ft z��o9' # of Stories Bldg Height 2�{' # Dwelling Units
151 Floor Sq Ft 0 2nd Floor Sq Ft g, 34 0 Unfinished Bsmt Sq Ft O Finished Bsmt Sq Ft I
# of Bedrooms /UA # of Full Baths % Baths 'Y Baths # of Fireplaces
Air Conditioning: No Energy info: (Circle appropriate choice) ComC 2. ResCheck w/Air Sealing
M�
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 �x�sTr� Sewer Tap Size 6*Y97-1-9 Metered: Yes r No Temp. Pedestal: Yes or No
Type of Heat: L2tas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Y�
Value of Construction (including labor, material & profit) $ OO<
Description of D/1 N/Sf�
Contact Name & Phone # of JOBSITE SUPERVISOR: i/I%j C/CSLA
Subcontractor Info: 77S 0
Electrical Mechanical Plumbing
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 C' of Fort Collins ordinances and to laws regulating building construction.
Applicant Signature Print Name .14AV6T f. 1`f/A/e-r Phone 9"70. 2.8Z. $00
Distribution: White — Office Yellow —Applicant Pink — WVWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
City of Fort Collins
Community Planning and Environmental Services
Building and Zoning Department
B0602506
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: 3 Z 3 -PAage �,aa Unit # 4+ ,, Zo't,'-"'--
New Building Addition ' Remodel/TF.
Name of Business: Nl^A6s `��A71o� CaNsu�•-7S
Proposed Use: (i.e. medical, office, bank, retail, etc) ®f-rte-e
Project square footage: 6 °
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant?
o If for a new tenant, is this the first tenant to occupy this
space? Yes
❑ 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? Me
Describe:
Signature
Name (Please print)
s 2� o
Date
97 0 . Z li? Z . /Sc1ro
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134