HomeMy WebLinkAbout120 Bockman Dr - Applications/Tenant Finish - 05/27/2014City of
�Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 15NOOZ50 APPLICATION DATE 5yZZ�N
Job Site Address 24n -VBocy4 Dr. 'Fk C0 << i v'S Unit #
PROPERTY OWNER INFO : ,(_All �owner Information Is required - It Is
not optional) Phone #
Last name P�A60 '�py,Cyi1 e(a First Name 'G,lr�y� / Middle
Street Address (q0 `a1� it�,.%, lip �`v City f 1 CD it I I\S State��Zip��
CONTRACTOR INFO: Company Namet.. J �r'wnLtC.[ .L11�7T Contractor Phone # Sy'3 %�%Z I-Itk9'
Lic Holder Name
City of Fort Collins License # Supervisor Cert #.
Mailing Address L0i 06k)OL 1*Ttryr City LoP6 "rJ 1 State CQ Zip Rjoso
11111�c lylkll •A
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 440 24 L Total Garage Sq Ft
Residential Sq Ft Comm'I Sq FtltvutL # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft ' f ( 2ntl Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/4 Baths '/ Baths # of Fireplaces
Air Conditioning: Ye2ENo0 Energy info:( Circle appropriate choice) 1.ComCheck11 2. ResC heck w/Air Sealing 11
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:
ILLr`
Water Tap Size ` Sewer Tap Size 4 Metered: Yes 1jNoF_1 Temp. Pedestal Yes❑ No ❑
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less 11 200 Amp ROther
Value of Construction (including labor, material & profit) $ l��fl .���. — 7 7 01 COC
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR:
Electrical _yy�p I - Mechanical ub Plumbing7q_'iD
Framer Roofing P• Concrete Fireplace N
Solar N i f N- Other
Other
Other
Applicant: I hereby ackno dge that a r this application and state that the above information is correct and agree to comply with all requirements
contained herein and Ci o ort Coll' a es and state laws regulating building construction. -77
� ,�
Applicant Signature e Print Namtsf/�_K`�t�t Z- Phone q-_7 - 4 0 s
v
Distribution: White -Office Yellow -Applicant Pink -W W iStonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
"City of Planning, Development and Transportation
F _ ort 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: 1W &CC1KV-4,A J-5 K� ty�
New Building Addition
Remodel/TF �
Building owner: AY kk=o \1--G
Building owner address: (`�c�' LP`�-v" Z� Cork, ^ s <9DSZS
Building owner phone #: 9go—ZZG- foiF5l9
Name of Business: C-go0'5*�Qw�S
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: \-k CP2'I 1 s F-
For commercial remodels Ft tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an 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 initial tenant for this unit, what was the previous use of this tenant
Space?
➢ Are there any exterior building changes associated with the work? e or No
If yes, please describe: vy\�v- ��pextiC ��rvt�
Signature of applicant
5.2i+ 1
Date
Name (please print) e`al5-miephvMne #
1
A
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