HomeMy WebLinkAbout215 E Foothills Pkwy - Applications/Addition or Alteration - 09/14/2017City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER fit,/ APPLICATION DATE I
Job Site Address
RtS- F71 jFnakt-WsUnit
# r7D
PROPERTY OWNER INFO
(All owner information is required -
it i not optional) Phone # 3d 3 ' %:71 -1A 0�
Last name Adpa4 - (a
Up
First Name
eer-40n
Middle
Street Address .5- 7.5'O
VsTC- wv
-//4����0//
COO t State 00 Zip ! 0/1/
CONTRACTOR INFO Company
Name �(�E
C.A�ts�
Al ,rx Contractor Ph ne # -To 3-2q 7- -- oT
Lic Holder Name l5 o-e(
]�e i,Jee C
City of Fort Collins License # ' ZA g Supervisor Cert # !)T- C
Mailing Address 470(
MQr /tj #% Qs((
- *l0 (
City 44xvQ,,State 6e Zip Kb Zl (p
LEGAL INFO
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft (not including basement) 2�Q, E70 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft lut # of Stories Bldg Height # Dwelling Units
%
151 Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths Y: 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 #s
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) $ 1 `7Oj �
Description of Work
4
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info pp� CC � _ -D
Electrical (�Nula. 4fi(Qr�1Y1`� �t Mechanical
Framer
Solar
Roofing
Other
-30A -1e (e 7 -
lA It Plumbing
Concrete Fireplace
Other
Other
Applicant I hereby acknowledge thatj 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 C6Ws ordi and state laws regulating building construe n
7Zn-V p
Applicant Signature Print Name Phone
Distribution White —Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Fort of
Commercial
Application Number:
Planning, Development and Transportation
PO Box 580
281 N Cotlege Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Construction Application Information
Revised 03/30/2009
R1705526
Job Site Address: aiS
New Building
Building owner:
Building owner address:
Building owner phone #:
Addition
-?07-77/
4-l7
Remodel/TF 4'1�
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) r-.k
Project square footage: 10 t JS3 1e
For commercial remodels Ft tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle a-r��(sw}� r) r
existing tenant or new tenant? NT!17e,— —Ccjwi;� O
/ //
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No �/tN-
➢ If not the initial
Space? f
nt for this unit, what was the previous use of this tenant
A
➢ Are there any exterior buildin changes associated with the work? Yes or No
If yes, please describe: N-i 219A�
Signatu a of applicant
Name (please print)
9/l/-7
Date
-1zo-4V-7-7oI
Local daytime phone #