HomeMy WebLinkAbout2720 Council Tree Ave - Applications/Tenant Finish - 02/28/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V 1 / v APPLICATION DATE
Job Site Address ),1 20 C \ ce,& P\VQ, Unit # l a LA
0
PROPERTY OWNER INFO: (All owner information Is required - it is not optional) Phone #
Last name 6n.Ut»..r7�M cN&r 4 e< First Name Middle
Street Address I)L ZZ AV V,,, n An)v _ y City �ce-rw. nn inmv✓. State�L Zip
CONTRACTOR INFO: Company� a. Name ilpir C) AG \,. Contractor Phone # q'7b L1 i 2 9 6Orr
Lic Holder Name _� o``G. %x 1 !! c `ej� City of Fort Collins License # Supervisor Cent
el#
Mailing Address S 3 I R 1AccyLGa.4i1�L' City F�. CAI l -,in< State Zip
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
1s' Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq Ft X5'00 # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
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 #
UTILITIES INFO:
List appropriate option
It
Water Tap Size i Sewer Tap Size C Metered: Yes or No Temp. Pedestal Yes or 6
Type of Heat: ❑ Gas AlElectric . Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ i S b , 000
.{ y � I �T
Description of Work: :j �tM tA.� r i �h n Q.'X c -S vt G � l t A 6 e-- a�
Contact Name & Phone # of JOBSITE SUPERVISOR: S \ in � -' lk1( q-7 W -4 13-- qG bS
Subcontractor Info:
n 1 �
Electrical Gr' cart, Mechanical Jjcc mow.-4ec I— Plumbing -;P4,i-'r,CL
Framer -$^ Roofing
Solar
Other
Concrete �-
Other
Fireplace-+
Other
Applicant: I hereby acknowledge that I have re d this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo Collins ordin ces and state laws regulating building construction.
Applicant Signature Print Name ..In kn SCL l I e� Phone
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 Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Construction Application Information
Revised 03/. 0/
3 uuo
Job Site Address: 27 -,o Cc",,.c \ Tree, is &c Y-4 I'z-4
New Building
Addition
Building owner: �c�cer�ies
Building owner address:
Building owner phone #:
"')�o9- --795-
Remod l/TF
L S51 OE
Name of Business: C3 Ry"GkA
Proposed Use: (i.e. medical, office, bank, retail, etc) zc t F-64C�t-e-- 641LQ,
Project square footage:
For commercial remodels tt tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an ircle answer)
existing tenant or new tenant.
➢ If for a new tenant, is this the first tenant to occupy this space? G
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? Yes or No
If yes, please describe:
of applicant
2--�L'd- 13
Date
Q0ti� Say 17Q L41-2_ q�6S
Name (please print) Local daytime phone #