HomeMy WebLinkAbout4700 BOARDWALK DR - APPLICATIONS - 11/8/2010/ BUILDING PERMITS & INSPECTIONS DIVISION
�i P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER b �y0-114 APPLICATION DATE l I / ®(a 1 10
Job Site Address y7oo SgAOML2ALe bl, F. 'CvttuV3 cD &cgTz5 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) P-hoone # dyV? _ ?G1�S9 ?1
Last Name,s�� t$ C'LL98 (r71Q �./YI�1C/ First Name��(.���01 ! FIFZ A-Ib4i"e ota xaco Q & A
Street Address 2ao1 5.9, 1pT1'f'3"j8jEE' city &.c.:7-BA)V 4JE State_zip 727/(6
CONTRACTOR INFO: Company Name WiE4 j t4 G"7'Pj2CTjpAJContractor Phone # 97D- 2Z1
Lic. Holder Name RaA HCA / i- City of Fort Collins License #A' ( Supervisor Cert # :ay -A
Mailing Address 1�10, UAWkW 14 Cityr CQLADSS State CO zip &tv. Z
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comml Sq Ft
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
Unfinished Bsmt Sq Ft
# of Full Baths 3/4 Baths '/2 Baths
Energy info: (Circle appropriate choice) 1. ComCheck
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option #s
Finished Bsmt Sq Ft
# of Fireplaces
2. ResCheck w/Air Sealing
6. Prescriptive w/Blower Door
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) $_((R�'.'�O
Description of Work: EA0_EC + jAjS 1AL4 _ QLd' W_ &aIA/AE4 C A44 t ao_464,L. S
F0A S 4.140A A00G G=e421 S o' .
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,Q��' dwJ 1 �l2 CA k_t 9a4A L S .
Contact Name & Phone # of JOBSITE SUPERVISOR: RaS R VEA , 6 31 -Y1 3 3
Subcontractor Info:
Electrical Mechanical Plumbing
Framer
Roofing
Concrete
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 f Fort Collins ordi nces and st laws regulating building construction. t
Applicant Signature Print Name_ &7xJE %_ 6 Phone 9%O
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Building and Zoning Department
Citv of Fort Collins
Commmercial Construction Application Information
Revised May 10, 2000
Application NumberB100 7 12 6
Job Site Address:1-17ea ,'7r�� A�J�4C�Qs� t''�
os0 4,
New Building Addition
Name of Business:
Remodel/TF.
Proposed Use: (i.e. medical, office, bank, retail, etc)�T��L
Project square footage:_245 .SF A CAP CDi"At 'X
j!� �Z Co,P1°AL S = 0732 SF.
For commercial remodels and tenant finishes, please answer the following:
o Is the remodel/tenant finish for an existing tenant or new
tenant? F—v-i ; ;JG
o If for a new tenant, is this the first tenant to occupy this
space? —
o If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known)
o Are there any exterior elevation changes associated with the
work? YF_ R
Describer GAS i CDQ��L
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-�,Signature
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Name (Please print)
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Date
9729 - 6 7 -i/v Q
Local daytime phone #
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