HomeMy WebLinkAbout216 N College Ave - Applications/Tenant Finish - 10/30/2017City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave.,* Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER ` L� 1 APPLICATION DATE 1 V r bN I I I
Job Site Address Zito ►J• COLA-* r{,gVll!�g'T5, IzO Unit # 6u1-ts tZ o
PROPERTY OWNER INFO: (Ali owner information is required - it Is not optional) Phone # 9-1 O —yp-I —601 S
�iZ1A11LMgrJ—PQ.OPFJ2"�`'t OWN'E'Q-
Last name Plamwt=\Z First Name -To t,D Middle
Street Address 352b P 6CA51oia DQ-t 5-TB . 100 City Fo1G-t Cw.<rlr"s
Company Name -T16
Lic Holder Name
Mailing
LEGAL INFO: PA�E+►zS' noM2.gro0
Subdivision/PU
Contractor Phone #
State C-0 Zip �O'sZB
City of Fort Collins License # Supervisor Cart #
City State Zip
Filing # I Lot # I Block # Lot Sq Ft bl 8Z�
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2I 1.67 -W Y'T Total Garage Sq Ft
Residential Sq Ft Comm l Sq Ft 21-73-1 # of Stones I Bldg Height # Dwelling Units
151 Floor Sq Ft
2n° Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths • # of Fireplaces
Air Conditioning Ye X NoH Energy info ( Circle appropnate choice) 1 ComCheck El 2 ResCheck w/Air Sealing11
3 ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5 Prescriptive w/Air Sealing ❑ 6 Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered Yes []No❑ Temp Pedestal Yes❑ No ❑
Type of Heat ❑ Gas Electric Electric Main Breaker Size (Residential only) �l50 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 1�" ,;000--
Description of Work -TCD-A� oF-yA�4 Co*-AVQSS c,\oyiie.
1ZZ M0- A Fog c wZz.A Pa.6bS t, 0elc -to 1r.,c.r-VIN-6
Gv/.a5rc1¢A.>rt_Tlu1 A or- Nr�.> 1 r.r[-t �2\[IQ_ 1✓C��1_S , Nf'uw V rxmjw% A?-w.YdT I
li i\ Tt961 SYCL WNIAS-C 1- Arlo. t 11�+'t'G-�-\cr2 F\ni�s�.\ze.S ,CC.Ga\\ !t:►Ln aepr- I-V, t-11464-\'ttNtl L rW W-V. -a6412 AJt4l Wj
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
Other
Applicant I hereby acknowiedge that I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and Cit f Fol Collins o dinances and state laws regulating building con//str��uctionn Z
Applicant Signature Print Name 4 Aa Trw't�� Pho(e 36Srj
Distn ution White - Office Yellow - Applicant Pink - W W W/Stormwater ���
THIS LIGATION EXPIRES 180 DAYS FROM APPLICATION DATE
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FOff"` j r1 Planning, Development and Transportation
1 ` O.�o�t�1 1� PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
�707211
ommercfa Construction Application Information
Revised 03/30/2009
Application Number: B 17 0 7 2 71
Job Site Address:
New Building
Building owner:
2� N . Coll l e - qe- , ,�i -e S zO , -CAS)►ems Z4
Addition
Remodel/TF^
Building owner address: �52-� pf�Clsi>1, .54
m- Icx��60528
Building owner phone #:
Name of Business:
, 2ro7- a<
Proposed Use: (i.e. medical, office, bank, retail, etc) resfiorav)4
Project square footage:
For commercial remodels £t tenant finishes, please answer the following questions:
➢ Is the remodelltenant finishes for an (please circle answer)
existing tenant or n ena ?
➢ 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
Space? hider. / -- :}-uS yic' ropy-1
use of this tenant
➢ Are there any exterior building changes associated with the work? Ye or No
If yes, please describe:
�D�X�hu 04) )J— tb T �ti�T ," % r5- �E�� Jne (- rw rv)'
(please print) f
fIZy 1Ze1-7
Date OC
becal daytime phone #