HomeMy WebLinkAbout224 Linden St - Applications/Addition or Alteration - 12/28/20172,
Fort Collins
CityOf
COMMUNITY DEVELOPMENT $ NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 a Phone: 970-416-2740
www t'egov eom/bullding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER `✓ n O v�) s a -
Job Site
APPLICATION DATE ' a I wv I i
Unit #
PROPERTY OWNER INFO. (All owner Information Is required - It Is not optional) Phone #
Last name -rWO 7 111 eery . t-L c. First Name Middle
Street Address 125 5 lAosNES ST 2ND r-Lw 2 City, > pwr Gou A Ids state -CO —zip f3ors
CONTRACTOR INFO Company Name FF2 DbNgl" ME24,31' , Contractor Phone # o('-10 - 284 - 9200
Lic Holder Name KEN14L-rhf SM City of Fort Collins License # r3'40* Supervisor Cert #
Mailing Address 12S S 140VVES 5T.. VP ftWR City FORT' C uA NS State Cc Zip A0521
LEGAL INFO:
Subdivision/PUD FORT GDu.1NS -MW?J Filing # Lot # Block # Lot Sq Ft� • 3
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)�Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 4AS1y • 6 # of Stones Bldg Height # Dwelling Units
151 Floor Sq Ft 4,!4105 . [D 2nd Floor Sq Ft T, 2 3ftl Floor Sq Ft Tl,S.2 Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths 'h Baths # of Fireplaces
Air Conditioning YesENo Energy Info ( Circle appropdate choice) 1 ComCheck ❑ 2 ResCheck w/Air Sealing ❑
3 ResCheck w/Blower Door 4 Simulated Performance Alternative❑ 6 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan # List appropriate option #s
01 UTILITIES INFO: / f:UL4. j5VII.VING
Water Tap Size I P Sewer Tap Size 3t Metered Yes E]No[I Temp Pedestal Yes❑ No
Type of Heat Gas nElectnc Electric Main Breaker Size (Residential only) 0150 Amp or Less ❑ 200 Amp Other
Value of Cons nictig jiridu Ming Taj�rOmatenal & profit) E 2
Description of
Contact Name 8 Phone # of JOBSITE SUPERVISOR: fJftn4,gIJ Ey—nnasn N -
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
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
0(91
Applicant Signature Print Named Ni FFf2 V(LM/ a54- Phone 1?--70 - M4--
Distribution White - Office Yellow -Applicant Pink -WWW/Stormwater '�&11 (Zr-�"'Lo(LP•Cow�
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City Of Planning, Development and Transportation
Fort Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number: 7 ® 8 2
Job Site Address:
New Building
Addition
Remodel TF
Building owner: 1"v,-1Ca Lt C
Building owner address: 17 S . .S - HGtJP:�s 'i . I=L Z
Building owner phone #: 9'F(-.,, - Z NCO
Name of Business: V li" Lk'6T— F-1 i- S
Proposed Use: (i.e. medical, office, bank, GetaiVetc)
Project square footage: � Soo '�; X
G
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the rem a /tenani"nishes for an (please circle answer)
fisting tenari or new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No rj
➢ If not the ini
Space? AJ
tenant for this unit, what was the previous use of this tenant
➢ Are there any exterior building changes associated with the work? Yes or
If yes, please describe:
na re of applicant
Name (please print) 0"�e'
Date
/ —4 c), ZZc,, o
Local daytime phone #