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HomeMy WebLinkAbout2924 Council Tree Ave - Applications/Tenant Finish - 06/27/2014 (2)City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER APPLICATION DATE Job Site Address ( 1 ve.-e— Aid-c- S sc,4c lai Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # Last namet�dlt�s A First Name Middle TA Street Address � z Av4 t -, jo, �1t1-�_ City li-VAL A L&W- State F{ I • Zip CONTRACTOR INFO: Company Name d �sr fDAJCVV �RMO^ IAContractortlPhone # 170 Z� Y300 Lic Holder Name 5t31 'kCAV.✓ sF1Gw�kAta� City of Fort Collins License # !t' Supervisor Cert # Mailing Address ADO, Ex R7 CityTiw+n4. State CO Zip gr9S W LEGAL INFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft l39J # of Stories Bldg Height # Dwelling Units 151 Floor Sq Ft 2nd Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft Finished 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 # List appropriate option #s UTILITIES INFO: Y Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No (�U 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 Description of Work: �L�10.hr �.+n �s� _ 139s Y� �ar' t'�� SPL4 dk..� Ti.eir 66.,E C CC` Fj Contact Name & Phone # of JOBSITE SUPERVISOR: Lolmwv 42,L% ✓ ,tt 9 7s- 441 o- OL4� Subcontractor Info: Electrical Mechanical Framer Solar Roofing Other Concrete Other Plumbing Mdoti IA�tat+.iow� 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. L Applicant Signatur�4y.�. full Print Name• �✓"`14&'r Phone QUO ZZ'y d Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE CityOf Fort Collins Planning, Development and Transportation PO Box 580 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134fax Commercial Construction A pl is 4 11.45) Application Number: Job Site Address: New Building Building owner: "07 4Q ,� 04,1.4c N-v Addition v tion Information Remodet/TF i Building owner address: 4ae- 3•�w«� Building owner phone #: 2c)5795 `7l/3Z Name of Business: X. Proposed Use: (i.e. medical, office, bank, retail, etc) �d ice SAJ-e4 Project square footage: 3� s For commercial remodels ft tenant finishes, plensg answer the following questions: ➢ Is the remodel/tenant finishes for an ' cle answer) existing tenant or new tenant? ➢ If for a new tenant, is this the first tenant to occupy this space? Yes or N� ➢ If not the I'mitial ter! t (cir this unit, what was the previous use of this tenant Space? �a.l ham U1esi ➢ Are there any exterior building changes associated with the work? Yes or ©o If yes, please describe: 64 1 '/ Signature of applicant Date' L-� 7o / / �.. CL.o�/��.. �- o2a3 3do Name (please print) Local daytime phone #