HomeMy WebLinkAbout3675 S College Ave - Applications/Tenant Finish - 11/21/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
7
281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER lJ �oO APPLICATION DATE
Job Site Address Gas s-a Unit # /6
61
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #.
Last name gj2e—A First Name /kyle, Middle
Street Address X7.4o �i� Z3�
City �/. �,(� s State CO Zip BoS.ZS
CONTRACTOR INFO: Company Name l� :rAiContractor Phone # 970 .2.2el 91-00
Lic Holder Name City of Fort Collins License # Supervisor Cert #
i
Mailing Address %Op ZigC City %/ .ro/1,%r5 State CO Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot #_
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft
ls' Floor Sq Ft
Finished Bsmt Sq Ft
Block # Lot Sq Ft
Total Garage Sq Ft
Comm9 Sq Ft /32 5/ # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths '/4 Baths % Baths # of Fireplaces
Air Conditioning:® 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 #
UTILITIES INFO:
List appropriate option
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
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Value of Construction (including labor, material & profit) $ 01 70t/
Description of Work: a./4//s _ /�/r/ ��pa7�i.cd� _ /,grA-/,%Z.7
Contact Name & Phone # of JOBSITE SUPERVISOR: P/7, /, ;g p4 11iGG LZ `/— 9.2doa
Subcontractor Info:
Electrical *�( -P464T f/�,�. Mechanical .Ki• Plumbing
Framer
Solar
Roofing
Other
Concrete
Other
Fireplace
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 Phone 2.2 V— 91Qv
Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of .
Fort Collins
Planning, Development and Transportation
PO Box 580
281 N College Ave.
Ft.Collins; CO-80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number.:
Job Site Address:
New Building
Addition
Building owner: KOz,�, K
Building owner address: 2-720 Covh
)r y . C,//-,
..6 Gv
Building owner phone 377 //3s
Name of Business: 7-1 z
Remodel/TF
Proposed Use: (i.e. medical, office, bank, retail, etc) 13as:,ve-s-t
Project square footage: /.725/
For commercial remodels £t tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for=tenant?
answer)
existing tenant o ne
➢ If for a new tenant, is this the first tenant to occupy this space? Yes ol(:Z>
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? T -5;-./aIN
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
S re of a plicant
Name ase print)
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Oate
Local daytime phone #
1207003