HomeMy WebLinkAbout4563 Denrose Ct - Applications/Tenant Finish - 06/10/2010City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N College Ave Fort Collins, CO 80522 0580 • Phone 970 221 6760 /�%ir
www fcgov corn/budj3 ding f 10
BUILDING PERMIT APPLICATION ✓O'A
APPLICATION NUMBER 1025 g -1 APPLICATION DATE C/ tO (0
Job Site Address tr 3 �ErVROS� �'n�/LI- Unit #
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PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # 7/ o `�(i — / o `
y�
Last name / 2yerx/ Y �G4 TS LG G First Name Middle ,gyp
Street Address /dCD1���1TIN�2f Zip
CONTRACTOR INFO Company Name fry��✓SCo/y51��/�N�G Contractor Zd�J�� -?�J!`
Lic Holder Name D�C��L L(//0 / rS City of Fort Collins Lic se #Q'/ upervisor Cert #
Mailing Address P �. �/t� ��� City /��✓��- State G Zip �O$wry
LEGAL INFO
Subdivision/PU
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not
//including basement) /. 000 Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft ��SG # of Stories Bldg Height Z le # Dwelling Units
111 Floor Sq Ft
2rd Floor Sq Ft
31d Floor Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/, Baths
jkX ii r/lt,
Unfiished Bsmt Sq Ft _
'/2 Baths # of Fireplaces
Air Conditioning No Energy info ( Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door 4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
List appropriate option
Water Tap Size Sewer Tap Size Metered Yes or No Temp Pedestal Yes or No
Type of Heat xGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other 6
Value of Construction (including labor material & profit) $ Z y 9OO
Description of Work ilill
G/t-i cvL fit/,¢/! S o�tJ
c.9-c,4-
Contact Name & Phone # of JOBSITE SUPERVISOR '_02 A-# 46;- 11r3
Subcontractor Info
Electrical gf <le Gi Nr Mechanical �/� `�/y� RA114F M15G//Q Plumbing_ N �/'f
Framer4-*,,ViA,1t-f10y Roofifig tylA Concrete /V�I Fireplace N/A
Solar NA Other Other Other
Applicant I hereby acknowledge that I ve r this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Coll1 ces and s regulating building construction / Geri
Applicant Signature Print Name v��G / W f� Phone Pa-5C/ /� / -P�
Distribution White - Office Yellow- Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
81003587
Fort Collins Po Boxn580 n, vetopent and Transportation
281 N College Ave
Ft Collins CO 80524
970 221-6760 phone 970-224-6134 fax
Commercial Construction Application information
Revised O3/3012009
Application Number
Job Site Address
New Building
,V r4 3 FJP n v o LE C f
Addition
Building owner /Do -/`y �/� f�, It e
'Ocf CdIt,h s ) . s'dY
Remodel/TF
x
Building owner address i 7 s � e< e a.1-e /za K C f✓ r 4 wd g�s3 d
Building owner phone # 9 J o- (:�(� 7- 7 o z 7
Name of Business Jeu b Af o � 4XI-e' s .� e- 0q,_-ZLC
Proposed Use (1 a medical, office, bank, retail, etc) /X'c.2 / C") 4 u
Project square footage S66 Fx 4rea 4- ioo;$( . PK xf wk1P 'I>ea
For commercial remodels (t tenant finishes, please answer the following questions
➢ Is the remodel/tenant finishes for an (please er)
existing tenant or r�i _ en�nit-
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No
➢ If not the initial tenant for this u it, what was the previous use of this tenant
Space? D 74 , c.e _r e
➢ Are there any exterior building changes associated with the work?
If yes, please describe
fCif/z� Sri T y
Name (please print)
Date
Yes oo,,
920
Local daytime phone #