HomeMy WebLinkAbout1606 S Lemay Ave - Applications/Tenant Finish - 02/06/2004�3
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
City of Fort Collins BUILDING PERMIT APPLICATION
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c Street Address Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. City State Zip Code
106 S . LGIQ ALE. Fv<-r c13 � ► N S C-o e o s e
Company Name License Number Supervisor & Cert. #
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Mailing Address City State Zip Code
21 Z- S. cater. E AvC. sclq-A�LT c%.j_►>v S c10 gQs ZS
Phone
97a - 23r--Y68y
Please Specify: LN. DR. CR. WY. PL. ST. CT. RD. AVE. Zip Code
JOB SITE ADDRESS 1 �0(, S • LCrnALI AVE , Ut1 IT 107 aoSZ S
uuuuiriaiun/rUU PA
CO
Filing Number Lot Block
Building Square Footage
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Number of Stories
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I ivuiiwci V1 Deuiuums/rsamrooms Finished Basement Square Footage
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Lot Area
Building Height
Value of Construction (including labor, material, profit) $ Saoq
Description of Work:
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MFVJ "1%51rj-i WALL NCt`J PARTS?(hn) b A(c — �VR Dr 3N6vA5rJrn14 1Zac�+�'1
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Subcontractors:
Electrical IKory rroav-rnJK) FeEc_ToLK Mechanical N1A Plumbing WATT w4R.r-5
Roofing N%A Concrete NIA Other
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i rrereoy aCKnowiedge that I h ve read this application and state that the above information is correct and agree to comply with all
requirements contai� her - and c ordinances and state laws regulating building construction.
Signature
Print Name C .
Distribution: Original - L & P Yellow - Office
Phone
3Z.V3
Community Planning and Environmental Services
Building and Zoning Department
City of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Number: B 04
Job Site Address: I 6Q6 S. L-Cr-iAy Unit # Id-7
New Building Addition Remodel/TF
Name of Business: LauJ CAP-5 4gOVp,,,%ET MA(zr-<?RA<E
Proposed Use: (i.e. medical, office, bank, retail, etc) KETA)c-
Project square footage: 191 TS
For commercial remodels and tenant finishes, please answer the following:
a Is the remodel/tenant finish for an existing tenant or new
tenant? NEvv TEN/W-r
o If for a new tenant, is this the first tenant to occupy this
space?__ !v )
o If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known)_ rn ov 1 E Rf JTAc s
o Are there any exterior elevation changes associated with the
work? No
Describe:
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Sig iature Date
C. 2K'JEe—
Name (Please print)
971D 231 968y
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-67F,f) rn
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