HomeMy WebLinkAbout1526 Oakridge Dr - Applications/Accessory or Secondary Building - 07/18/2018City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 5 t \/ Imo�'I'CO Q 1 APPLICATION DATE —1 I `) I q)
Job Site Address I FJz�p OPtKrZIDr�E Z 0-g i &LUNSUnit #
PROPERTY OWNER INFO: INANFO: (All owner information is required - it is not optional) Phone # J f O - �I �l - 112 0S
Last name 'ES E S EE3�, First Name RAY—N�O-�- Middle
Street Address I 1 9 �IFAVW I � D _ City �t#—'L t �OL.LI NS State=Zip 8L525
CONTRACTOR INFO: Company Name t 8 k Contractor Phone #
Lic Holder Name
Mailing Add
City of Fort Collins License #.
City
Supervisor Cert #
State Zip
LEGAL INFO: I—
Subdivision/PUD OAKR(C)GE eUS I NE.SS Filing # � t`l Lot #—I_ Block #
PAR K
Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) �((! Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft
15' Floor Sq Ft
Finished Bsmt Sq Ft
2"d Floor Sq Ft
# of Stories Bldg Height # Dwelling Units
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/4 Baths /2 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
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)
of Work: w Isis
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
L:
Plumbing
Fireplace
Other.
Applicant: I hereby ackno ge t I have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and C' of FortC Ilins ordinances d state laws re ulating building construction. t �� 1/
Applicant Signa Print Name \ f CF � �IOlX 11" L Phone 70-00 -32 11
-jpr,e99s4 yzhoo_com
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
It City Of Planning, Development and Transportation
»
F t Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/3012009
Application Number: i:�-) I ---i t
Job Site Address:15 2-6 OAK R I D GE RDR I COL( N S
New Building
Addition ✓ Remodel/TF
Buildingowner: L ��o T �. -
Building owner address: 719 3EEAK WA l L(Z 12ROJE, T-C-
Building owner phone #: C3 70 - Z A - 205
Name of Business: FRF)E—N1 U)S MEDICAL CA IRC
Proposed Use: (i.e. medical, office, bank, retail, etc) M C 0 I CAK L
Project square footage: 5--F- 'Z^5-
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please -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? �LSTAUNT
➢ Are there any exterior building changes associated with the work? Yes �' r No
If yes, please describe: N -W l OR l F
:1 EF F l\
Name (please print)
5Z�Bf
Date
970 690 -- 3211
Local daytime phone #