HomeMy WebLinkAbout646 S COLLEGE AVE - APPLICATIONS - 10/29/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER t/C/ °� 1 �/� -1 APPLICATION DATE 'O l oq `O o
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JOD She Address V7 iw �.
PROPERTY OWNER INFO: (All owner information is required — it is not optional)
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Phone # �� 2.7-4 ^ Z-i (312)
Last Name ( di itrrn TJAA)First Name Middle
Street Address 00t.3 a`'orAecafti. LA#%-C n City Fsr4 (�rAjw& / State�Zip
CONTRACTOR INFO:: Company Name Sj%A gA � Contractor Phone # ccnd #cm, I lip
Lic. Holder Name DeKVNS S'hAAA City of Fort Collins License # _ Supervisor Cert #
Mailing Address 4�-% tb&t C* City F6&e4 �" Stated Zip %C9?iL.
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Residential Sq Ft Comm] Sq
# of Stories
Total Garage Sq Ft
0
Bldg Height # Dwelling Units
0
1s' Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths 1/4 Baths /2 Baths _ i # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
"`JNater Tap Size Sewer Tap Size
i
List appropriate option #s.
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
4Wy�/
Value of Construction (including labor, material & profit) $ /d
Contact Name & Phone # of JOBSITE SUPERVISOR: =rn% c lowL S66 — & Z$
Subcontractor Info:
Electrical - Mechanical Q L ,/► w IW Plumbing
Framer Roofing Ao/ U ,�A�LT of 4 Concrete Other hjA
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 Print Name Phone
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
City of Fort Collins
Commercial Construction Application Information
Revised May 10, 2000
Application Numlz
Job Site Address: (OLOP S, C oo Unit #
New Building Addition Remodel/TF
Name of Business: edyPbrir1
Proposed Use: (i.e. medical, office, bank, retail, etc) Kit`
Project square footage: 21Cn
For commercial remodels and tenant finishes, please answer the following:
a'' Is the remodel/tenant finish for an existing tenant qqr new
tenant? "e• -s P'.,� 4 Si.�_4 .- ®.�'k-. %. V-dA_ Ate_
❑ If for a new tenant, is this the first tenant to occupy this
space?
If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) n e ee ( / Kvq a Klt oevi
Are there any exterior elevation changes associated with the
work?
Descr
Signature ,�-
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Date
Name (Please print)
1*70. yIS, I'19 D
Local daytime phone #
SAA
281 North College Avenue • P.O. Box 580 ^ Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134