HomeMy WebLinkAbout1125 W Drake Rd - Applications/Addition or Alteration - 02/17/2012Cityoff COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov con9building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER d JI �L-o 016. Y1 APPLICATION DATE 9/I1 / 1
Job Site Address 1 / 2-5 Inl_ ?WkC AJQ Unit # Br
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 9 - 22 .Z /o
Last name rU CuCLECE ,Lbr-1-5 LL.C, First Name Middle
Street Address Aye J. CoLCe E, E Ade , Su 76-2,6) City 6D/z7" Cv4-4Ns State CO Zip 7 _
Lic Holder Name
Company Name 5rlu_ 6Eirim(s blf)S Contractor Phone
City of Fort Collins License #.
Mailing Address City.
-- : . •
Supervisor Cert #
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) / -)2z Total Garage Sq Ft
Residential Sq Ft Comm'I Sq FtT 2, # of Stories_ Bldg Height # Dwelling Units
1" Floor Sq Ft
21 Floor Sq Ft
3'" Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths 'Y2 Baths # of Fireplaces
Air Conditioning: Ye4_jNo Energy into: ( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door H4. Simulated Performance Alternative[] 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doog
City of Fort Collins Stock Plan #
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes ❑NoE] Temp. Pedestal Yes❑ No ❑
Type of Heat: 1A Gas Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material 8 profit) $
Description of Work: 'Chs-F o (I ; rt c- -,kn ( i
V;w 'ems a.- s" 1
Contact Name & Phone # of JOBSITE SUPERVISOR: t-F>T\-kh W Gp.,*" tj A-4D - 2\S- a IQ q 3
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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. d,
Applicant Signature ^a� �'"�^"" Print Name &—rAkCe45d ✓, B/A/6AAA0J Phone 419 3
F®rt of
Commercial
Application Number:
Planning, Development and Transportation
PO Box 580
181 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Construction Application Information
R1f2DOf"
e 19
B
Job Site Address: .11 7_z�- Inl , I ra,lce--
New Building
Addition
Remodel/TF X
Building owner: ^%✓l
Building owner address:
Building owner phone #: 1fL'2-- ff/3G
Name of Business:
Oil ery i
Proposed Use: (i.e. medical, office, bank, retail, etc) v'CA 1c,
Project square footage: Yu r 6'J6/e 014
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (pleas le answer)
existing tenant or new tenant? kJ <Ic ////W i Z
➢ 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? qua ' J o✓
➢ Are there any exterior building changes associated with the work? Yes or !o�
If yes, please describe:
Signature of applicant /
��TML��i✓ `D. 131,VE,A.KAn/
Name (please print)
«-//7�/Z
[date
,21t5-- 16rg3
Local daytime phone #
SZX