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HomeMy WebLinkAbout3663 S College Ave - Applications/Tenant Finish - 11/27/2009BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 6iA www.fcgov.com/building Citv of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER 23 (!70 7s� APPLICATION DATE Job Site Address L-�)&Qj rm IlQae_ fie GaS+e 13 �g1fi p,Unit # 13 PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # � T - 37 / Last Name V �C �u/DD� t-/� First Name Middle Street Address 5700 �%'7� �� a City R. rWl State CO Zip Ee)S ag, CONTRACTOR INFO: Company Name �{�Q tV�ij CAeea- dlw&S Contractor Phone # 170 9o& OK9 Lic. Holder Name Lawo-w `I X-C�Q,t2 City of Fort Collins License # Supervisor Cert # Mailing Address 10201 1 5l/-,y �y- D9, City C4IL,,erg State Zip 0,S C/ LEGALINFO: nn Subdivision/PUD A- j A— Filing # CONSTRUCTION INFO. Total Building Sq Ft (not including basement) --to-4-oS Total Garage Sq Ft Residential Sq Ft Comm] Sq Ft - # of Stories Bldg Height # Dwelling Units '--- 1st Floor Sq Ft — 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths '/2 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. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # List appropriate option #s Wate ap Size Sewer Tap Si Metere . Yes or No Type of Heat: ❑Gas ❑ Electric Electric Ma reaker Size (Residentia'only) Value of Construction-(heluding labor, material & profit) $ Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: r Electrical 94c(QwUQ.I!(il.i Mechanical Framer RoofingN Applicant: I hereby acknowledges at I have thi 'cat contained herein and City of �rt ollins manc and sta T Pedestal: Yes or ❑ 150 Amp or Less ❑ 200 Amp ❑ O r Ia-f'7y d R� Plumbing Concrete /V Other anq state that the above information is correct and agree to comply with all requirements gulating building construction. Applicant Signature t Name (Lc ✓ i T)ICC� Phone 970 5&& 0gd istr' ution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE City of Fort Collins Commercial Application Number: Job Site Address: New Building Planning, Development and Transportation PO Box 580 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134fax Construction Application Information Revised 03/30/2009 t50907131 77 Addition Building owner: VM CCd�► wCY'd Remodel/TF Building owner address: e Cr_ iE� 6)-16 s k CG OUS z Building owner phone #: Name of Business: Proposed Use: (i.e. medical, office, bank, retail, etc) Project square footage: 1 "1 3 'J sF �l ►pis )�� ���,og 5 ��,sdfi For commercial remodels £t tenant finishes, please answer the following questions: ➢ Is the remodel/tenant finishes fonswer) 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? ^r��/1,� r T 610"M1-z1 c2 -OOLt ➢ Are there any exterior building changes associated with the work? If yes, please describe: Sign4ure%f applicant Nan -le (please print) //Ll'll©1 Date Yes or(No:) G70 's?p& octO Local daytime phone #