HomeMy WebLinkAbout4700 INNOVATION DR - APPLICATIONS - 4/13/2006BUILDING PERMITS RL INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
6a www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION #5KY, 33
APPLICATION NUMBER 13 V� O I t I APPLICATION DATE_ I- 13 o j0
Job Site Address q-706 "yu.ltan- �/jPC Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #_ IRV Z(o(o - �106
Last Name �� lacl�r First Name_ RgS cr- Middle
Street Address �1Z ot7 1-+�w,�c �rivL CitState (SO Zip 5b5Z- -
CONTRACTOR INFO: Company Name TV%kj1-11kJ �ypSvicj rwC Contractor Phone #- ��' gii ` c(ZoS-
Lic. Holder Name_ M I C✓ % --J" City of Fort Collins License # 6-Z SS Supervisor Cert # 31Z
/ Mailing Address_ 3333 S �ar..y,c�t St 3f744() City tnylcarp71o� State � Zip g6Ito
LEGAL INFO:
Subdivision/PUD �%O(o I $� y Filing # 17 Lot #� Block # Lot Sq Ft q11
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1L), Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft ID, fco # of Stories_ Bldg Height # Dwelling Units
15t Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/ Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) 3 ysy , Z
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Description of Work: 7Gyv► "f �i ►1�fOyt wwvt i- I n'K' i U/ wR AMC 1- G (C c
Contact Name & Phone # of JOBSITE SUPERVISOR: Erie- (j lS�� 3031 BiC� - `i Zos 4ll
Subcontractor Info:
Electrical 1<LwrN ke1cG►c Mechanical U$ �K ,�vc,.�K Plumbing us Crci�ccr�'�q
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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature�w �� Print Name IERIC 6 L.jILSa1y Phone 3O3(Fs`,�2aS
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Kr Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
City of MrtCollins 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
Commercial Construction Application Information
Revised March 6, 2006
Application Number:
Job Site Address: 60 Unit #
New Building Addition Remodel/TF X
Name of Business: k6i(.(,W+ Uf'r-i
Proposed Use: (i.e. medical, office, bank, retail, etc) 04Cg—,
Project square footage: 1b , 26()
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant? 4f-K�+
❑ If for a new tenant, is this the first tenant to occupy this
space? No
❑ If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) D cc
❑ Are there any exterior elevation changes associated with the
work? NO
Describe:
"Vv"�
Signature
6-(ZLc. J w ILsakj
Name (Please print)
g{ ryoC
Date
03
Local daytime phone #