HomeMy WebLinkAbout2720 Council Tree Ave - Applications/Tenant Finish - 07/01/2014 (2)COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort of
281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov corn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 61 LI 9--,;5f2 �2 APPLICATION DATE + / / J 4S�-o
Job Site Address VZ® Counck ( 'rrer, Unit # zoo
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # %S - 795 - 413Z-•
Last name mC Ct_\1tx,,. First Name rA a2 1 Middle
Street Address ZL Z Aq kt:,oc\ Au e-. City g "t"'n5 State At- Zip 35 ZOS
CONTRACTOR INFO: Company Name K011 CorncneyC ZoLt_ LLC. Contractor Phone # rt(e
3`t —c Z
Lic Holder Name W, ft j V¢'ka City of Fort Collins License # 045 Supervisor Cart #
Mailing Address ~13�J� C1�ec'x�c ��Ge �r • I�-� City W;njsbc- State CO Zip gossu
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) l 55U Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
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:
20d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
3'd Floor Sq Ft
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
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) $ Me
Description of
Contact Name & Phone # of JOBSITE SUPERVISOR: 9 y� 'iZe - Stele - 32_G53
Subcontractor Info:
Electrical Vmke- V- trc-}c:c Mechanical 8nexi_14ocle4 11edItkcPlumbing a4'Gi,e RusyJbRne
Framer Roofing
Solar Other
Concrete
Other
Fireplace
Other
Applicant: I hereby acknowledge hat I have,_read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City f Fo oat
ordinance and state laws regulating building construction.
Applicant Signature Print Name t4CkCn" ts4tPt Phone Q7Cy - I J3fi�
Distribution: White -Office Yellow -Applicant Pink-WWW/Stormwater
i
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
CCl'ty of j 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 03/3012009
Application Number:
Job Site Address: 2-7 -zs;o Oous-c l —� Swami zoo
New Building
Addition
Building owner: 9!n1 ,eK- PEM k:CSS
Building owner address: 7 zzz
Building owner phone #: 2bs--ems_ �I 3z
Name of Business: - Qq I TO-
-.C..-
Remodel/TF ✓ i,�s_ssP'
Proposed Use: (i.e. medical, office, bank, retail, etc) OM C,e
Project square footage:
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (ple answer)
existing tenant or w tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or
➢ If not the initial tenant for
Space? U-nz u �-s ou 519
unit, what was the previous use of this tenant
➢ Are there any exterior building changes associated with the work?
If yes, please describe:
Signature of applicant
ca-w 1\1 "te-OSA , ,xtirr�S—
Name (please print)
10.1 llli
Date
Yes or
q,70 --al J9 - 137b
Local daytime phone #