HomeMy WebLinkAbout1600 Prospect Park Way - Applications/Tenant Finish - 02/08/2011F6rt
Cityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
wvvw.fcgov.com/building 'A I K0D-x)-
BUILDING PERMIT APPLICATION ✓iow
APPLICATION NUMBER �w�J-�" APPLICATION DATE
Job Site Address /�� �'!� Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone #
Last name � i4-3T J?UD,25T. First Name Middle
Street Address 6C l/ /Il.1C/ Z10 City &DUrA.1-1 State-(12—Zip 0e7-_
CONTRACTOR INFO: Company Name,(1(r�,/1 JfFjc�D� Contractor Phone #
Lic Holder Name n o/�GC�-F.'l � City of Fort Collins License #f S-% Supervisor Cert #fin
Mailing Address �d� p1?~a4 �210 City &W, kJ State � Zip dy-�29z
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) � �844 Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
# of Stories Bldg Height
31d Floor Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % 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. 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: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
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Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: ald. &',Q %
Subcontractor Info:
Electrical /yee-{T Mechanical &&X&t14W AA-- Plumbing Aq21,9 JQ1s/KQi�j
Framer Roofing Concrete Fireplace
Solar
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
contained herein and Cj'ty of fort Col 'ns ordipa96TV and st a law regulating building construction.
Applicant Signatures Print Name%1/WAE&D.. /f�� Phone -kS--V9 FSf1-.3
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
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 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
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Application Num
Job Site Address.
New Building
Addition Remodel/TF Y
Building owner:-PP69(- J J� &,L4 At2-Ix��5a( P
Building owner address:
#00
Building owner phone #: -k3-�2 46P7
Name of Business: l Clej6ED
Proposed Use: (i.e. medica[,fice bank, retail, etc) tMlyy
Project square footage:
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an ircle 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 initial tenant for this unit, what was the previous use of this tenant
Space? e)P=(O.F
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
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Signature 6f applicant
M rCNgrL '0. '61-Al"'Iz
Name (please print)
z// /-/
Date
Local daytime phone #