HomeMy WebLinkAbout3711 John F Kennedy Pkwy - Applications/Tenant Finish - 06/18/2009Q 3
j BUILDINC PERMITS & INSPECTIONS DIVISION -// -
PO Box 580 Fort Collins, CO 80522 0580 Phone 221 6760 /
www fcgov com/building -. 1
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER VU 9 0445 APPLICATION DATE 1909
Job Site Address 371,11 e4ze-A c& Utniit # 33b
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone f�{f �zq) �:&V''rzleoQ
Last Name FTp,Y F.06N7-;e� p44Z4 ZZC First Name ` Middle r r7
Street Address gi�&— City 14�?r u1-oqj f Statejrc�--Zip
CONTRACTOR INFO Company Name ntractor Phone #(-r'») Z/Z - 3Vrg
Lic Holder Name��Q'� City of Fort Collins License # Supervisor Cert #
Mailing Address /2-OD ✓yzL City pt<^ �1N% State_ Zip FC7S Zv'�
LEGAL INFO
Subdivision/PUD
Filing # Lot #,
CONSTRUCTION INFO Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths 3/4 Baths Yz Baths # of Fireplaces
Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
4 E Star w/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door
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
Value of Construction (including labor material & profit) $ 17�s Ord U
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical 9/4.z 46f4g/ Mechanical AAA:GrO45' Plumbing
Framer A,14 Ro rig Concrete �� Other �-I
Applicant I hereby acknowl g hat I have re on and state that the above information is correct and agree to comply with all requirements
contained herein and City F rt�s ordinanc ,6d state laws regulating budding construction
Applicant Signature /per W ` �%Print Name G )Z� �' GrJf�- GPhone � � %- 0!
DistnbutL_� hite - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Building and Zoning Department
Citv of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number
3470
Job Site Address ?/I �i��v,O, Z/ �� Unit ; 5--3Z
New Building Addition Remodel/TF
Name of Business
Proposed Use (i e medical, office, bank, retail, etc) 409eli
Project square footage _ ae
For commercial remodels and tenant finishes, please answer the following
❑ Is the remodel/tenant finish for an existing tenant or new
tenant' ��
❑ If for a new tenant, is this the first tenant to occupy this
space'lYci
❑ 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' t(Jo
nature
�� & z�—
Name (Please print)
�f1�/o p
Date
C?&0 zz7-cz 9�
Local daytime phone �=
281 Nort'i Culleg- a%emit PO Box L80 For Cothi, CO 80522 0580 (970) 221 6760 FAX (970) 22' 613'