HomeMy WebLinkAbout215 N College Ave - Applications/Tenant Finish - 04/14/20158irt
tyof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FCollins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
l �} BUILDING PERMIT APPLICATION
APPLICATION NUMBER ! l/ APPLICATION DATE
Job Site Address 215 c* o3 CrjLey- A w Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last name __'� � W c ( <<<✓lS First Name `J�t�w v 13c o Middle
Street Address Z t N 1 , City rcy-{ C�c((c r 5 State C-(-- Zip 5CSV-(
CONTRACTOR INFO: Company Name1 0( fii (ea, ,n 1)t 5 t�n'S ✓,n e- Contractor Phone q0r_�°( I SL (?) (r
Lic Holder Name V Q i.rr, K ✓1 City of Fort Collins License # Supervisor Cert #
Mailing Address �_-7 2 G L— R-A 7 Li City cc,_e-c State (C, Zip E52,17
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 '177o o # of Stories_ Bldg Height # Dwelling Units
1s' Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z 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:
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) $ 01 Z 0G6m Description of Work: y- t rr( ( of C/-C--n L y-) S¢c tyn (C'C_4 i rrn �l c; n sc jrj= vn P!Y �p t S t-C rYX v� I
Contact Name & Phone # of JOBSITE SUPERVISOR: L_�r7, WcC r-k< n 9 7G ' fn- 1 5-LV6(o
Subcontractor Info:
Electrical On Ch(1 C
U_cA , t t� Mechanical �/
r�r Pln., ,M logy nc $
11 rSs
�l`� �IuAbing & t-S ruP-)%IL, .
Framer O LcA t oi_r1
Roofing 1(0S5
Concrete OC.-I (rs
,ti n Fireplace
Solar
Other
Other
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 Print Name ke c v-c- Oc ele_Ln Phone I :7G _�q1 5Li �
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of
F6rt CoWnS
•"" �`Yr• l Y
Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: 2 t
New Building Addition
Building owner: W t Uf-s n \
Remodel/TF >—
Building owner address: Zl 5 N Go Z Lo w /A .A--, CC 865ZL-I
Building owner phone #: `=l -:Z C1 `{ 3 :1
Name of Business: Sc_u-t�„ -v)
Proposed Use: (i.e. medical, office, bank, retail, etc) teal /frr 54 C- 4, IZI vr)
Project square footage: 3 7 �O' l 1
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
existing ena t 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? G I l C2 c��n 1 o �I LO� C k , I IL � SE-c_k'-1
➢ Are there any exterior building changes associated with the work? Yes o No
If yes, please describe:
Signature oWapplIli1cant
Name (please print)
al — l t-( -
Date
q qG 3q / 5 L-t ?) In
Local daytime phone #