HomeMy WebLinkAbout1606 S Lemay Ave - Applications/Addition or Alteration - 09/02/2010City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760
www fcgov com/building
II BUILDING PERMIT APPLICATION
APPLICATION NUMBER n C)S In �t l"S APPLICATION DATE I h
Job Site Address
PROPERTY OWNER INFO (All owner information is rtrfiuired - it is not optional) Phone
Last
First Name
Unit # ldoZ
Middle
Street Address-e/o CT1(n3KLA_tzw City StateWf Zip
or
/d %
CONTRACTOR INFO Company Name Contractor Phone # -ZQ`e J
Lic Holder Name C %� City of Fort Collins /License #� / Supervisor Cert # L _49
Mailing Address,-,nU %&� f`-' � City l � S State �� Zip t�O 5,�
LEGAL INFO
Subdivision/PUD 00U: "IC EaCk Filing #
hlwL�ot #�F �49 cflzZqZ.
CONSTRUCTION INFO Total Building Sq Ft t t I d 9 b m t) Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stories Bldg Height #Dwelling Units
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
3 d Floor Sq Ft
# of Bedrooms # of Full Baths / Baths
Unfiished Bsmt Sq Ft _
/ 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) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profit) $ -------- 7O
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info
Electrical G `M+echanical /y(LCFCFIkA( Plumbing tQP494 eyvice
Framer oofing N ConcreteA� Fireplace
��yy g
Solar A)IA Other Other 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
conta ned herein and ity aFortns d nances and state laws regulating building construction jj
Applicant SignaturO Print Nam06W �Q5 �/ Phone�l� _3
Distribution White - Office Yellow -Applicant Pink - WWW/Stormwater ` _ 7 S ) "
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
Application Number
Job Site Address
New Building
Building owner
Building owner address
Addition
Building owner phone # 307—`f3-5--13-6 J
Remodel/TF
Name of Business P+- fl.bAle-i- Fn- — L01 (1M S
Proposed Use (i a medical office, bank retail etc)
Project square footage /021
For commercial remodels It tenant finishes please answer the following questions
➢ Is the remodel/tenant finishes for an lease circle 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 ini ial to ant for this unit what was the previous use of this tenant
Space? ✓,A dare— Lz1UKku��
➢ Are there any exterior building changes associated with the work? Yes o No
If yes please describe (::
02 e52c:�)(D
Signature of applicant Date
Lek-Sto 0202�—�{��3
Name (please print) Local daytime phone #