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HomeMy WebLinkAbout155 Boardwalk Dr - Applications/Addition or Alteration - 03/06/2012COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION l �l APPLICATION NUMBER biAPPLICATION DATE Job 51te Address /5 5 t[6hk D VQd L K J)YeI V E Unit # t — ►' 1-11 11 PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 111 -- 4a 3 .3 L- L L- P Last nameXl4 b K ©Dp✓ A656C I-L S First Name Middle Street City State Zip CONTRACTOR INFO: Company Name 1V6C1VA "V C o "PA 10 4 Contractor Phone # 97o - L/ 93- V 47 Lic Holder Name aAwt b N E E /JA t\) City of Fort Collins License #A— / I Supervisor Cart # 4 -A Mailing Address o� S S M D N Rar ]jjoi t!f i, q City. D/j► COLL I N/ 5 State CO Zip dS^ LEGAL INFO: Subdivision/PUD 1460 vuVT4'0 OfAlb I) AMC 1 Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 4_1 53 �Su� Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stogies Bldg Height 1s' Floor Sq Ft Finished Bsmt Sq Ft Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2nd Floor Sq Ft 31d Floor Sq Ft # Dwelling Units Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths '/< Baths /2 Baths # of Fireplaces Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door Water Tap Size Sewer Tap Size List appropriate option #s 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) $ Description of Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontra t r Info: Electrical "� /Mechanical Plumbing C/agait'di:t 3yiq-6 . Framer Solar Roofing Concrete OtherWf�47TI� i4iSOther 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. _ Applicant Signature � 1�---1 Print Name )NAg,. �Jj Phone 3y31 tb-j M Distribution: White —Office Yellow —Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE FCity of Planning, Development and Transportation ®1 t Collins PO Box 580 281 N College Ave rt Collins, CO 80524 970-221-6760 phone 970-224-6134fax Commercial Construction Application Information Revised 03/30/2009 Application Number: Job Site Address: ASS !b9A0x0i,.lW,c- Mx--- ✓ , 1;a--f C-0 86S2S New Building Addition Remodel/TF X Building owner: kgo e --a Building owner address: 2sS 11�a,Jpo�; b2��,= # 4 fozc (a...,g, (v �40S2S Building owner phone #: (1 I r1 Name of Business: 15 NR'lonlAL )&wL Proposed Use: (i.e. medical, office, bank, retail, etc) T>Ash Project square footage: S -7 13 GF. For commercial remodels 8 tenant finishes, please answer the following questions: ➢ Is the rerngde64temmtfQnishes for an (please circle 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 init'�l tenant for this unit, what was the previous use of this tenant Space? T� ➢ Are there any exterior building changes associated with the work? Yes o No If yes, please describe: Sign ture ofpplicant d Name (please print) -MIL ?1(.//z Date Local daytime phone #