HomeMy WebLinkAbout3617 S College Ave - Applications/Other - 11/02/2017City of
II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER Q464 / 0n APPLICATION DATE
Job Site Address 5W I S. Cv-c.t.6
Unit #
PROPERTY OWNER INFO (All owner information is required - it Is not optional) Phone # - Wt - M s>
Last name Kr"6 Cia fvfJ UJDLnD First Name Middle
Street Address 535Sb CAIJ06a AVE S'S 662 City i'fr e6u-tNS State 6D Zip (!�S Zs
CONTRACTOR INFO Company Name rf5D Contractor Phone #
Lic Holder Name
City of Fort Collins License #
Mailing Address City
LEGAL INFO:
Supervisor Cert #_
State Zip,
Subdivision/PUD C4E6159 PLAZA Filing # Lot # f Block # / Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq
151 Floor Sq Ft
2nd Floor Sq Ft
# of Stories
3'd Floor Sq Ft
Bldg Height # Dwelling Units
Unfilshed Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces
Air Conditioning Yes (° 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
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 .ri ., 400
Description of Work
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowledge that I have read ni� application and state that the above information is correct and agree to comply with all requirements
contained herein and Rye ins or in a and stat laws regulating building construction
O
Applicant Signa A Print Name �r{RNnJrn-� T20�fL4e Phone �1b-b'IZ 65'j
D White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
y
City of =
Planning, Development and Transportation
F6Ir}} L Collins PO Box 580 • '
281 N College Ave
Ft Collins CO 80524
' 970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
y Revis d 03/1012009
B�17U10,
Application Number:
- s.
Job Site Address: 3�1� s �L
5, New Building Addition Remodel/TF
Building owner:
Building owner address: �141J°6,q love ' 8'M 691D
Building owner phone #:
'Name of Business: �/ Cv�.u^JS MP:✓
Proposed Use: (i.e. medical, office.,, bank, retail, etc) r� �
Project square footage: -7� w
For commercial remodels It tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (ple¢se circle 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? Yes or 'No
If yes, please describe:
' `4 •
ISignateo``''appli ant bate
Name (please print) Local daytime phone #
' fl •