HomeMy WebLinkAbout4426 S College Ave - Applications/New Commercial - 09/14/2010COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
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 oo -Y�� APPLICATION DATE
Job Site Address 4t'4'� S 601 )!.5f. 1y6 Unit #
PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # 303 -g6`; d 4 q! L
�-1tnf34«.Irv�f. DE,t L.LC
Last name First Name Middle /^�_^
Street Address &00 6V 4vA`� —<A. Clty1���� State W Zip
CONTRACTOR INFO Company Name 1>( 1 1 t:,S*S 644:L Contractor Phone #303- Q 119 49q'4
Lic Holder Name r� 1>&R�'t City of Fort Collins License #639-7 Supervisor Cert #
Mailing Address 15 31$ bJ41`04 e. —de�+ City jjrj)VM +L1 D State CO Zip 96,f43
LEGAL INFO
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including
Residential Sq Ft Comm I Sq
1 t Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
2 d Floor Sq Ft
# of Stories Bldg Height
3 d Floor Sq Ft
Total Garage Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/. Baths Y2 Baths # of Fireplaces
Energy info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing
4 Simulated Performance Alternative 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) ❑ 11510 Amp or Less ❑ 200 Amp [:]Other
Value of Construction (including labor material & profit) $ =7ZF--NlO� 1. — y lO (p bCi n�
Description of Work �,p oa j "}•'riY1 A.� �S ✓VI is lLi \ n -�O D'►1 t%i, to b D QwH Q,rC,
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical 1�-1"S fjw4y'�
Framer
Solar
Roofing
Other
Mechanical i1 rA Plumbing Lt V'DS V w�OM
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 Ci o f Fort Collins ordinances and st laws regulating building construction
Applicant Signature i-��% � Print Name l)1arr0I D 6Ro.14,1 Phone o3-all 9-iFdBq
Distribution White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City Of Planning Development and Transportation
Fort 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
6 E I H-J
Application Number
Job Site Address 442-46o S ('� I I&SE V3 s
New Building
Building owner
Addition
�40-7%v"
Remodel/TF C
4 u.c,
Building owner address S� �>f44V1541 CO
Building owner phone #
Name of Business
Dr AA%✓1
Proposed Use (i a medical, office, bank retal etc)
Project square footage %SSS
For commercial remodels £t tenant finishes, please answer the following questions
➢ Is the remodel/tenant finishes for an answer)
existing tenant or 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? ✓Nd-bO►\O 1 N F-i4y�bwoo is
➢ Are there any extenor building changes associated with the work?
If yes, please describe
1 �E
Signature of applicant
Name (please print)
Date
Yes or No
303,, gl'7-48ffe{
Local daytime phone #