HomeMy WebLinkAbout404 N College Ave - Applications/Tenant Finish - 02/13/2018COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER lsoo' / V APPLICATION DATE
Job Site Address y0# As, COu fCf, &VE Unit # B�SF�✓I�N7—
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name Rom*W First Name a"A-IJ Middle S,
Street Address 2701 CoNn�r�ir+ VrL City State CD zip
CONTRACTOR INFO: Company Name pm NDt Utz Contractor Phone #
Lic Holder Name
Mailing
City of Fort Collins License #
City
Supervisor Cert #_
State Zip
F.TOPIWIA9
LEGAL INFO:
Subdivision/PUD N Filing # Pj A- Lot # Block # N /1- Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft l$.Oy # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
2n° Floor Sq Ft
3r1 Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished 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
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) $,�
Description of Work: SFACB MS SPa4Nk-uejes_ — btVtV)f 2 V qt ►vj POO 2S - 2uYy/v3TYLVc-n1 #J
`f/ Dn-YW' -ti— AV1p 34 " Doc>Mr_
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 this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of F Collins manc nd state laws regulating building construction.
Applicant Signature1r/ � � 4 Print Name Phone 4 104-286 1
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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 03/30/2009
Application Number:
P1009
Job Site Address: qOY /v, co 61-45 yOf , 691zr 09UMS., Co 5o5 &t
New Building Addition RemodellTF fi.=.
Building owner: ALP I Si � LaaA-e r u� - _
Building owner address: 4-W G C?a .r - wit) ti, CoZ4v �-
Building owner phone #: a (9q2- (3-Dfi - 31rn
Name of Business: t.F�e--1J9A-P—V g12t)fN7-UMF--s e-SCAPE i?00yvr.9
Proposed Use: (i.e. medical, office, bank, retail, etc) f-Sc4-Pr- rz">Cm S
Project square footage: i Zo 4 Sq-F+
For commercial remodels Et 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 tgna
Space? N�&—Uvz
for this unit, what was the previous use of this tenant
➢ Are there any exterior building changes associated with the work?
If yes, please describe:
Signature of applicant
Bw� s, P_.oMA-nN
Name (please print)
Yes o No
2- Z f l 9
Date
qoy- 7oq-Z(o& !
Local daytime phone #