HomeMy WebLinkAbout4038 S Timberline Rd - Applications/Addition or Alteration - 11/30/2017City of COMMUNITY DEVELOPMENT St NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1�1:JZ� 8 11 11 APPLICATION DATE
Job Site Address 9038 S. - 1 M9L-V LltJ tE RD Unit # I Z6
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 910 • Z(0-7- - %C)a
Last name SCo rt" First Name rt l;?ENT"- Middle
Street Address 03�3 S. TI M y� E'K_LI nJ E KO City 'jO✓L:T-COLL jr $ State Go zip 80 S Z5
CONTRACTOR INFO: Company Name Cbl✓ C0"STeLA.C.T1.bij Contractor Phone # q to • is b 3- :T& 3uc
Lie Holder NameGac- 661 mat si to Llape City of Fort Collins License # 9- 1:4 1 Supervisor Cert #
Mailing Address 230Z 0 13rW STIZt:Z-7— City )✓O-%C7Arr--fi] State G4b zip $b S3a--
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 212S1 # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft
2ntl Floor Sq Ft
3r1 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # 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 #
UTILITIES INFO:
List appropriate option #s
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $4 140N oan , Oo
Description of Work: FGCb1J F IC-11A-F, 1-4F/JtAftYr SPACE - ( /JELL C`,41ANIL-EFL O(yLy ,
LAt O A-q 11 AOXI C--
Contact Name & Phone # of JOBSITE SUPERVISOR: 61Qe T�%ICt It�fCaL�12_
Subcontractor Info:
Electrical TgN Mechanical Plumbing
Framer •Typr- Roofing
Solar Other
Concrete
Other
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 ordinances and state laws regulating building construction.
Applicant Signature Print Name A'Nby WOE Phone q,}O• (0&3•
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
'City Of Planning, Development and Transportation
F6 � rt Collins1PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number: M--"
Job Site Address: AOS S. TI MF Ex-u rQ0 -P D -J:tr 1 ZO
New Building
Addition
Building owner: `6c.k5,^-N M c
Building owner address: -1-0318 S. TI M13cr--L t
emode /TF X
L
Sco rt- Gti ie-6PzAc t7c
Building owner phone #: _ rila - ZIP-+. 9 to 00 T%��T—SGb
Name of Business: ScorlT-F"A-M►(A HEAL 1k
Proposed Use: (i.e. mil, office, bank, retail, etc) (—S.A(Ms 1
Project square footage: 2 , 2�5 I 5`aF i
For commercial remodels & tenant finishes, please answer the following questions:
)> Is the remodel/tenant finishes for an (please circle answer)
xisting 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 103
If yes, please describe:
Signature of applicant
Name (please print)
I, Z8 i�
Date
q-30• ta&3-1403U
Local daytime phone #
n