HomeMy WebLinkAbout350 Linden St - Applications/Tenant Finish - 08/21/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 61 ��O'SoC c) APPLICATION DATE
Job Site Address 35D ST Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # C110 -2.-ZZ - t IL-SOLast nameKWV011Z- MOO121E �DAMrl First Name!g/Cl TOM M 000.E Middle
Street Address I23O e&%A4•r'4y 61-%t3 XV., Cityit. ea LlI WAS State Co Zift576
CONTRACTOR INFO: Company Name COTX%tom, %T� 1*_,%( Contractor Phone # q1a• 221 ''467r-i
Lic Holder Name�j t�(O"�j 09City of Fort Collins License #4 Supervisor Carl #K)e? -A
.
Mailing Address 1�-� E>cp)t ly's, CityrT_ LO'.III IJ 5 State 40 Z060;Z2
LEGAL INFO: ,
ARG�IaI. ��1-Z2 13 ooS
Subdivision/PUD Filing # Lot ilLet I AB ock # 1!;) Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 ,- k Total Garage Sq Ft
Residential Sq Ft " Comm'I Sq Ft ! ►w # of Stories i Bldg Height_ # Dwelling Units 0
151 Floor Sq Ft '5Sg ( Zd Floor Sq Ft '-6- 3rd Floor Sq Ft -® Unfiished Bsmt Sq Ft 156%
Finished Bsmt Sq Ft -9091' # of Bedrooms `8' # of Full Baths 3K Baths `P' % Baths Z # of Fireplaces '-J
Air Conditioning: Yes No Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
ll�� tl
Water Tap Size " Sewer Tap Size "l Metered Y s or No Temp. Pedestal Yes or
Type of Heat: ONGas ❑ Electric Electric Main Breaker Size (Residential only)❑) 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ $ I I ow
of Work: ,A toy ` r�i i�'i/�►11.. LA tl "TltJ tv 4 \ 0' 3 ZT t4ftler- I t✓,6,- 'i I�l 0"
Contact Name & Phone # of JOBSITE SUPERVISOR: rl:?�ny CO r'Niffm
Subcontractor Info:
Electrical GMechanical 0 d Plumbing
Framer �✓P Roofing +l.f/a oncrete TYLS. Fireplace
Solar Other Other Other
Applicant: I hereby acknowle 'fie th t I hav �r d this application and state that the above information is correct and agree to comply with all requirements
contained herein and City o ort Ilins or in ces and state laws regulating buildin ns ruction.
Applicant Signature Print Name Phone b�
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Fort Collins
Commercial
Application Number:
Planning, Development and Transportation
PO Box580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Construction Application Information
evised 03 / 30/ 2009
U"5 0' 5
Job Site Address: 3 5 0
New Building
Addition
Remodel/TF ! 1-
Building owner: Kl -v0l'rL• JV1 b CIVN �'&v-.
Building owner address:
Building owner phone #: OzZ- 1 zSD
Name of Business: MAWig*4 Ly,�N P.
Proposed Use: (i.e. medical, office, bank, retail, etc) L
Project square footage:
5 C90P
For commercial remodels ft tenant finishes, please answer the following questions:
➢ Is the rem
lodetife-n-ant i61 for an (please circle answer)
existing tenant r new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space?
➢ Are there any exterior building changes associated with the work?
If yes, please describe:
�5'i ture of /a��plicant
CJ1J
Name (please print)
Yes or 00
�' Z-/ . I Z
Date
q7 0 . ZZI •4&Z/-
Local daytime phone #