HomeMy WebLinkAbout2720 Council Tree Ave - Applications/Tenant Finish - 10/24/2011*3o5' !&3
City of Fort Collins
' APPLICATION NUAABE4pIj �
Job Site Address
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 - Fort Collins, CO 8052M580 - Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
' APPLICATION DATE
:�ul ev_6_Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not options Phone
Last Name a L�L,L First Name 1619 D Middle
Street Address LbIDLa !71iaN G Clty till State Zip
CONTRACTOR INFO: Company Name et>� A44-_PC1a 44C-contractor Phone # 976 —1.63'"-9g3a
-�
Lic. Holder Name 1 City of Fort Collins License # Supervisor Cert # �_ll
Mailing. Address 735a Q, City � r State Zip.�J��
LEGAL INFO: �
Subdivision/PUD �K"e- l % �Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq !Ft (not including basement)_ Total Garage Sq Ft
Residential Sq Ft Commil Sq Ft 3910 # of Stories . Bldg Height # Dwelling, Units
1st Floor Sq Ft
#; of Bedrooms
Air Conditioning: Yes No
3: ResCheck w/Blower Door
.City of'Fort Collins Stock Plan #
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of'Full Baths % Baths '/2 Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing!
4. E-Star w/Blower Door 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 0 Electric Electric'Main Breaker Size (Residential only): 0 150 Amp or Less ❑ 200 Amp q Other
Value of Construction
Description of
labor, material & profit) $ 11 S t 0t>6)
Contact Name & Phone # of JOBSITE
Subcontractor nfo:
Electrical
Framer Roofing.
+11 �t���i�1 970-
Mechanical
Concrete
Plumbing L.b ZorrAL
Other '
Applicant: I hereby acknowled 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 F¢iTjlips ordinggFes d slate I s regulating building construction: _ —
Applicant Signature Print Name is'I t &Of"5k j % Phone S�6 �a
Tyve A�oJ.cwhsn 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 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: d,
New Building
Building owner:
Building owner address:
Addition
P ►�S 4z c
Remodel
Building owner phone #:
Name of Business: L���
Proposed Use: (i.e. medical, office, bank, retail, etc) li✓
Project square footage:
For commercial remodels Et tenant finishes, please answer the following questions:
➢ is the remodel/tenant finishes for an ase circle answer)
existing tenant or pant
➢ If for anew 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?
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
Signature of applicant
Rill 6ur-5k, kb-4 1-44f,
Name (please print)
aq
Date
Local daytime phone #