HomeMy WebLinkAbout226 S College Ave - Applications/Mechanical - 10/19/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.conVbuilding
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER G APPLICATION DATE
Job Site Address ;21a6 S C fl/ /e.G-6 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name SG���-� I /7 /� r� First Namely Middle C
Street Address � % 0& 1010 120.5 F COANJ City r:-/ 1! 0 //J A)'q Statee 0 Zip R-0 5 6
CONTRACTOR INFO: Company Name
Lic. Holder Name
Mailing Address_
LEGAL INFO:
Subdivision/PUD
Contractor Phone #
City of Fort Collins License # Supervisor Cert #
City
Filing #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq
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
# of Stories
v
State Zip
Lot # Block # Lot Sq Ft
Total Garage Sq Ft
Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft
# of Full Baths 3/< Baths '/2 Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door
Finished Bsmt Sq Ft
# of Fireplaces
2. ResCheck w/Air Sealing
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
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) $ 3 !f a O
Description of Work: �l Q V E-% o&C, f k / S Z/— 0W
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Mechanical
Plumbing
Framer Roofing Concrete 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 City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature �T"�____'':�1Cg,R�� Print Name /V) �'0-/A-k,6UA/E Phone020514!��%7
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 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 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
MM:
Job Site Address: S eV ZJ . LE r/'— e'0 //i � S'
New Building
Addition
Remodel/TF
Building owner: S,1-vV►
Building owner address: ,2 7c�� w i i� �2o S� k/4 V -- fo/%dG
Building owner phone #: f 7� �0
Name of Business: 1�2G ;l (/' �ti 1 r.
Proposed Use: (i.e. medical, office, bank, retail, etc) �%e CIZIAM--9®Tl3d 6- S
Project square footage: 3aa s? u A& c 1� C T
For commercial remodels £t tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
existing tenant or new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? �2v l� i? 4 i/A�// to 7i 6tN k��_
➢ Are there any exterior building changes associated with the work? yeg or No
If yes, please describe: &SZ/A16-- ly/// /3
79EP/,40-f e- CV7-1,4 /�- S411) �✓`L w/A/w InR Cus;-OM F,o 10'.t6u10
ignature of applicant
Sf} CI A-l-110.1yf
Name (please print)
i0//9/O
Date
�'?0 CPV LlY�l7�
Local daytime phone #