HomeMy WebLinkAbout2211 S College Ave - Applications/Tenant Finish - 07/02/2013City 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 (fl APPLICATION DATE -11
Job Site Address ZZI/ S. Cd I IUnit # 30�
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 3o-3 -ZT/-0
Last name UP'Wer"j `� Ce�4 er- LL E, First Name14111Sa M(-' Ir \d -C- Middle
Street Address zZ ( 'f�. Co I �G1�� Icity sC 1 (0[1�< gState�Zi. S
CONTRACTOR INFO: Company Name /�I N J-1 Q2., CaA. m TT� Contractor Phone #
Lic Holder Name Gnl- iilfsi-F- City of Fort Collins License # 5 �7 Supervisor Cart #
Mailing Address ZZ�S t, 7C.ul (�%�4ti City (�vll 1XJD�_ State (!rJ Zip Pd 9;-L
LEGAL INFO: 1 //oo L 7 t
Subdivision/PUD lj(1;1/2S5rkV I,PJI r (mil �, Filing # Lot # Block #T Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)_
Residential Sq Ft
1s' Floor Sq Ft
Finished Bsmt Sq Ft
Total Garage Sq Ft
Comm'I Sq Ft Q-0 # of Stories Bldg Height # Dwelling Units
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/4 Baths '/z 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
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) $ 1 (( 5
Contact Name & Phone # of JOBSITE SUPERVISOR: U t�1 1 31 ) -Li9 r6
Subcontractor Info:
/f, /�
Electrical & ILL6 Cr�n.�v t 4-516L /r Mechanical am Y 6l J Plumbing
Framer
Roofing
Concrete
Fireplace
Solar Other Other Other
Applicant: I hereby acktwe that I h ve rea this application and state that the above information is correct and agree to comply with all requirements
contained herein and CiCollin rdias and state laws regulating building construction.
/% � '(� qw
Applicant Signature Print Name / c .�ie Vt Phone ��D��1
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
F6City Of Planning, Development and Transportation
1 t Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: Z10 5. &(l!� -e-� 0 A d � -'Jby
New Building
Building owner:
Addition
Building owner address: JZq((yeA,6r
Remodem fE-
2.
C'6-iy, , CA TI&Y
Building owner phone #: 36 3
Name of Business: V I i f A14 z�eeo
Proposed Use: (i.e. medical, office, bank, retail, etc) '1 dfie55 (Mler—
Project square footage: ZQO
For commercial remodels It tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
xistin a or new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or
➢ 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:
nature of applicant
Gc��'cye,Tr
Name (please print)
Yes or is
Date
alb-y��3
Local daytime phone #