HomeMy WebLinkAbout3519 Richmond Dr - Applications/Addition or Alteration - 07/12/2016City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building (5hn J ' O ,
BUILDING PERMIT APPLICATION
APPLICATION NUMBER BI O cJ� � IRE
APPLICATION DATE
Job Site Address �J�19�uv1a�N*� C�Il;R . Unit # ",
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # qlb —
Last name A2 mac. ig FAIL Its iCirt-First Name Dk J1AA Middle
Street Address 5%'02 , wntA-r='j City L • State C)T'
0 Zip C
CONTRACTOR INFO: Company Name C��' Zc45-7- 1nSC • Contractor Phone #//T-A-%-711- i0:�o (A
Lic Holder Name Jim dRUgaK City of Fort Collins License # I-?;=:- Supervisor Cert #
Mailing Address kx> / A T A1idrA4w--TI1j )UP, & , State eC-> Zip -.;aa5]�
LEGAL INFO:
Subdivision/PUD Fil' g # Lot # Block # --- Lot Sq Ft
CONSTRUCTION INFO: Total Building S4q Ft (not including basement) '1.!0 4:Z40• Total Garage Sq Ft
Residential Sq Ft _ � Comm'I Sq Ft ✓p• ""' # of Stories 'Z Bldg Height '�-� # Dwelling Units
15' Floor Sq Ft 2"d Floor Sq Ft '4 j��0 31d Floor Sq Ft C> Unfiished Bsmt Sq Ft O
Finished Bsmt Sq Ft # of Bedrooms C7 # 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: � rf V&rj
Water Tap Size rs Sewer Tap Size Metered: es or No Temp. Pedestal Yes or CCf�loi
Type of Heat: ❑/KGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less11wf-1-11" . -.p ❑ Other
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Value of Construction (including labor, material & profit) $ , %8c,- s G7r-�
Description of Work: 19- u-s AtA-
c
Contact Name & Phone # of JOBSITE SUPERVISOR: — Vm (i-lo' s�6 -3 bo-'�3
Subcontractor Info:
Electrical Mechanical t4A Plumbing t7�°f°�'�� ,Yl''7
Framer /r J irR Roofing Ak Concrete ism Fireplace KA
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 ordin nces rt�i tate laws regulating building construction.
Applicant Signature Print Name �7 1 J€�4-4 Phone t�ci
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Flirt Collins
Commercial
Application Number:I}
Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
97Q-221-6760 phone 970-224-6134 fax
Construction Application Information
41, Revised 03130/2009
C l r
ob Site Address: 3� O2-r►-w,h�. �Y. �� Cvlliv,C4CO
New Building Addition Remodet/TF
Building owner: c--,S U(-- IN V\ V-Ckv-' ._�... /1%"AINI.-1T-1 'L A &:;)y �(
Building owner address:
Building owner phone #: 97Z) - `�` �' - 20 Z
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) a FF c 2
Project square footage: 20 O 5 . .
For commercial remodels ft tenant finishes, please answer the following questions:
➢ Is the remode ant 'Wishes for an (please circle answer)
xistin to 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? Yes or
If yes, please describe:
aturO'of applicant
ea dJ 4 GV I e v—
Name ( lease print)
-7 I Z lV
Date
0170-'57-7- -5&3�o
Local daytime phone #