HomeMy WebLinkAbout460 S College Ave - Applications/Tenant Finish - 04/04/2016COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City, ®f
Fort Collins
281 N. College Ave. a Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 310 G l && g APPLICATION DATE
Job Site Address L%(OCp S, C o /C�r�� c,e Unit # st„
PROPERTY l/O``WNER INFO: (All owner information is required — it is not optional) Phone #
Last name L&D S • First Name / Middle
Street Address%T[�2�;� bt.. /city L-o j /0.,7 State �Zip 9o5 7
CONTRACTOR INFO: Company Name 4 a'IU3 ppj Lo^ <clfuic�1 Contractor Phone # 3p,7 •- %%S 670.2
Lic Holder Name : G_ <_04 '6__X0 ocl City of Fort Collins License # C' (P Supervisor Cert #
Mailing Address 2 gi n/�+>� C % / CitState Lo Zip 5_c23
LEGAL INFO:
Subdivision/PUD
Filing # Lot #,
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm'I Sq Ft 9 7/ # of Stories Bldg Height
151 Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
# of Bedrooms # of Full Baths % Baths
Block # Lot Sq Ft
Total Garage Sq Ft
# Dwelling Units
Unfiished Bsmt Sq Ft
'/Z Baths # of Fireplaces
Air Conditioning: & 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 #
UTILITIES INFO:
List appropriate option #s
o�
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) $
Description of Work: /61a.4T L4 ; SA �r1 Gr�G/,tl' �jc; ; t �� /� tAp� r� dP_ ,- re
Contact Name & Phone # of JOBSITE SUPERVISOR: 7� S'on 3o 3- 775- 6 7v2
Subcontractor Info:
Electrical
Framer Roofing
Solar Other
Mechanical
Concrete
Other
Plumbing
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 ordina ces and state laws regulating building construction.
� j
Applicant Signatu �.� Print Name�4Sn.1 E 1900 Phone3o?-7757-670.Z
Distribution: White -Office Yellow- Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Planning, Development and Transportation
F®rt Collins1PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
.Commercial Construction Application Information
ev'sed+03/3.0/2009._E
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Application Number:
Job Site Address: G/zoo
New Building
Addition
Building owner: Z1o L L G
Remodel/TF J/
Building owner address: / 712 T4oei z /fir• L oac k-rl C.
Building owner phone #: GI70-667- 70oo
Name of Business: G ff2-/ Ch
r
Proposed Use: (i.e. medical, office, bank, retail, etc) �,/ < -,/9
Project square footage: g %�
For commercial remodels Et tenant finishes, please answer the following questions:
Y Is the remodel/tenant finishes for an (please -circle answer)
existing tenant or new tenant?'
y If for a new tenant, is this the first tenant to occupy this space? Yes or
Y If not the
Space?
al tenant for this unit, what was the previous use of this tenant
Y Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
SiZA/-/'C�
at—ure of applicant
�uSa" 1- woo d
Name (please print)
Date
20 3- 775-6 70z
Local daytime phone #