HomeMy WebLinkAbout622 S COLLEGE AVE - APPLICATIONS - 2/12/20084 Z B/, '/5
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www. fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBERO Uamo APPLICATION DATE 0-1 1a to
Job Site Address62Z 15: �DL.L�=_C�� AN(E7' Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
V Last Name l EHL First Name -TIZjG1A Middle G,Q REAL.Tee
Street Address 1 -3 9, COLLEGE" $Yt7350 City 6 PEel-ey G� State CO Zip 49BSZq
CONTRACTOR INFO: Company Name C?1�� T��YiZ�5E5 Contractor Phone # `-7d` 534• 2-7..Z2-
Lic. Holder Name Y,EV N i J, City of FortCollinsLicense # Supervisor Cert #
Mailing Address RO, BOX 336gb3 City iZEEL-E`( State CC> Zip 60633
LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Lisp ..�7 Total Garage Sq Ft
Residential Sq Ft Comml Sq Ft "4E?00 # of Stories_ Bldg Height # Dwelling Units
1st Floor Sq Ft
# of Bedrooms
Air Conditioning: le No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Full Baths '/< Baths '/2 Baths -- # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
Water Tap Size �XiST. Sewer Tap Size 1EX IST Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: IN Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ i0o 0�
t��n
Contact Name & Phone # of JOBSITE SUPERVISOR: KEYS N D. :5 wep't (110,53H, 2-2Z2
Subcontra/c�tor Info: ram_ r�r � � � � /� `� �,/� •`
Electrical AL l U Euz--, ��rj Mechanical Ek-r F:D"�(A Plumbing&4A1 CEO PL MBIA
e 1-� 5`�'Rdtl.,El LLe-
Framer //// Roofing JGoS efl► 6 eC. Concrete Other
Applicant: I hereby acknowl geet hav read is appl' tion and state that the above information is correct and agree to comply with all requirements
contained herein and City o 0 s or finances nd s �lyy5 regulating building construction.
Applicant Signature�c Print Name gRJI A D. 5WOf E Phone 970 3Z22-Z
Distribution: ite - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICAT N 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 Number:
Job Site Address: 62.2 S, COI-Lt!!ac Me- Unit #
New Building Addition Remodel
Name of Business: L-4>'5 TAP'h56ct5
Proposed Use: (i.e. medical, office, bank, retail, etc) ResAmuru(4-
Project square footage: 4900
For commercial remodels and tenant finishes, please answer the following:
GIs the remodel/tenant finish for an existing tenant or new
tenant? ileW 40,Acki*
,j- If for a new tenant, is this the first tenant to occupy this
space? Y%o
If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) GOPy�pOAQ r gaM �ng
Are there any exterior elevation changes associated with the
Name (Please print)
zj aIce
Date
9 Z 0 1 53 zl , ZZzz
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins, CO 80522-0580 • (970) 221-6760 • FAX (970) 224-6134