HomeMy WebLinkAbout1335 W Elizabeth St - Applications/Tenant Finish - 03/16/2018City of
Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER t b61 650 APPLICATION DATE J —I to ^ I'1�
Job Site Address ( '? 75. L)- CT L 1 4,Ro3cST1-1 Sr Unit # in5
PROPERTY OWNER`` INFO: (All owner information is required - it is not optional) Phone # 4 �'
o• 'Z 'C 4 q 2 0
Last name f OA-c-I+ FL "—% — First Name 12 t4 Ir Middle
Street Address 79 6 5. �� LL.0 LS %�/.f !i � 1 City �"i • �L LI -' S State Zip u� i
CONTRACTOR INFO: Company Name T 17 A Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) I 1 7 Srz Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft__t 1 j.3 S~ # of Stories_ Bldg Height — # Dwelling Units _
1 s! Floor Sq Ft �Sf 2nd Floor Sq Ft _
Finished Bsmt Sq Ft — # of Bedrooms
3`d Floor Sq Ft
Unfiished Bsmt Sq Ft -�
# 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: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp [:]Other
Value of Construction (including labor, material & profit) $ 6 0, 0 0 0
of Work: j a,,JA.uT F 1,-) 1114 r—d2 PA/LAcrvL Sty n P 13AA 1 (r/t S,'ATt
Ic.L.T91t-%f wre--tTY %Z.oee.j
Contact Name & Phone # of JOBSITE SUPERVISOR: T a ✓f
Subcontractor Info:
Electrical 1 /� Mechanical T 13 A Plumbing T 13A
Framer T >d A Roofing T)3A- Concrete TiC /) Fireplace fw 14
Solar Other Other 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. 1
Applicant Signature' Print Name )/`A W S r (?/ks M Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
F6City of Planning, Development and Transportation
9 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 Numb
Job Site Address: 13 3 N I.-,} • ��i 2� t:�'S fT14 S-Tx6arr 10
New Building
Addition
Building owner: W'—jSiPARY- M4PkT, Lt C-
Remodel/TF
lob S. GbLt.crt.,E Awe) 4� 20
Building owner address: w'o(\� c'4. L-%A1 t. c a 8 o s Z y
Building owner phone #: 4 4- O - 224
'Loy J 20JA GFltrlQr7
Name of Business: IS 9 9 'DA X POL501 P
Proposed Use: (i.e. medical, office, bank, retail, etc) �A R-1�6 IL 5 H o f
Project square footage: i 1 15 '� S f -
For commercial remodels 8 tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an a 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? RE5-rAv(L-Aa-r
➢ Are there any exterior building changes associated with the work? e95or No
If yes, please describe: 51(.AA4tf bNo T W ° 0,4P-Crl`
Q0ttf S
Signature of applicant
J ar 65 Fig+ se->z, A l A _
Name (please print)
Date
�03.gs1.•SSs3
Local daytime phone #