HomeMy WebLinkAbout5926 Espalier Ln - Applications/Basement Finish - 07/12/2019CaL'L
FCityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
��t Collins 281 N. College Ave. • Fort Collins, CO80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
( FOR OFFICE USE
APPLICATION NUMBER: l � m APPLICATION DATE: '1 vpl
]ob Site Address 51 Z (o WA LI E2 L.Ar4 ; Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name LUTI First Name Rtcv- Middle
Street Address 517,la 1 5PAIAK LrJ City foQT 6LL i'�1S State CO Zip 60Sag
Phone # L503) W —W-17 Email 92., t;A L.v1'z Lv, 4MALL.. CO
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name 501 Ft l5o t b(2S I L.L c,
License Holder Name 1)fag'4 60lied LIC# 6 - 471 CERT# 3R91•(3
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement)
Residential Sq Ft Commercial Sq Ft # of Stories
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Finished Basement Sq Ft ) 30O # of Bedrooms Z
Baths % Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
Block # Lot Sq Ft
Total Garage Sq. Ft.
Bldg Ht # of Dwelling Units
Unfinished Basement Sq Ft
# of Full Baths 1
(Simulated Performance
ComCheck ElUA (ResCheck) El SPA Alternative) ❑ Prescriptive❑ ERI(Energy Rating Index) El
Air Conditioning? YES J NO ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes, please answer the following; questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant[] New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑
If yes, please describe:
Value of Construction (materials and labor): $ %5, DOO .00
Description of Work: 5A5f ►AFa-rr Fr,-JrSH of 1.1300 5P To 104CL00E AM oFF%cEr
SAERG1Sfc Roots Ar4Q tuCl, SAT11koo'A
JOBSITE SUPERVISOR CONTACT INFO: Name pEt2E4 Co tfrW Phone
17o-825 -gyo0
SUBCONTRACTOR INFO: Electrical [pNDo6'E &L. Mechanical AIFW,Vic, hFArr'dCN
Plumbing ALPHA PI,VM6jdJ Framing
Fireplace
Solar
Roofing
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM`s).
tl I do not know if an asbestos inspection has been conducted on this property.
❑ An asbestos'inspection has been conducted on this property on or about (enter date)
❑ An asbestos inspection has not been conducted on this property.
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 h lam% Type or Print Name F, K Go I-f!r AI
Phone# 0170- G$ -NZ39 Email pEkE�L�Sw�Et13V1LDEe5LLG• EOM
THIS APPLICATION EXPIRES 1:8G DAYS FROM APPLICATION DATE