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HomeMy WebLinkAbout932 W DRAKE RD - APPLICATIONS - 3/2/2010Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760 www fcgov corn/building BUILDING PERMIT APPLICATION APPLICATION NUMBER INOD 1 O 1 N APPLICATION DATE 0 cam I D,)-`go I n Job Site Address '73 Z 1,j olz co s-r_i2C Unit #-��1- - T PROPERTY OWNER INFO (All owner information is required - it is not optional) Phone # d l - 6 S /,QQa LLC Last name LO'4.5' D4V6- 5io V4 3 C0VW4gEA j"1FiArst Name Middle Street Address OnJL CY,S D/LlV€ Cdy_ vicoc-4s aCjCZ7 State_&L_Zip02S-53 CONTRACTOR INFO Company Name 612own1 C__aL)IphTj, Contractor Phone # 303 -399- lc7ofn Lic Holder Name City of Fort Collins License # Supervisor Cert # Mailing Address >' T Z pl y City .4VAd4 State-GC-3 Zip S C00 LEGAL INFO Subdivision/PUD 1y)4,e_14L; C9-.1 I-XLt P U AO Filing #�_ Lot # CONSTRUCTION INFO Total Building Sq Ft ( t I d g b s m t) Residential Sq Ft Comm I Sq Ft # of Stones Bldg Height. 1 Floor Sq Ft 2 d Floor Sq Ft 3 Floor Sq Ft Block # Lot Sq Ft Total Garage Sq Ft # Dwelling Units Unfiished 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 Simulated Performance Alternative 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) $ 9-0., O©c> Description of Work Contact Name & Phone # of JOBSITE SUPERVISOR M IS 7-2c.) - 2/ ? - ? &o Subcontractor Info Electrical Mechanical Framer Solar Roofing Other Concrete Other Plumbing Fireplace 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 Print Name C D /,I L1 S Phone �5Av 21P ;t roj Distribution White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE city Of Planning Development and Transportation Fort Collins PO Box 580 281 N College Ave Ft Collins CO 80524 970 221 6760 phone 970 224 6134 fax Commercial Construction Application Information Revised 03/30/2009 Application Number 8101076 Job Site Address `7 3 2 vi p fzAer New Building Addition Remodel/TF Building owner 's -S 02✓c s;u/4-S c9 L1 =eR.�J i9 , «c Building owner address Or -IL c.vs .D2) v�. _�+ A- Building owner phone # yo f — ?Gs — /5 C7 C7 Name of Business ),JC Proposed Use (i a medical office bank retail etc) W A1LEElc3 JS L Project square footage 2c CDC)o r- - z For commercial remodels Ft tenant finishes please answer the following questions ➢ Is the remodel/tenant finishes for an (please circle answer) existing tenant or ew tenants ➢ If for a new tenant is this the first tenant to occupy this space? Yes or No ➢ If not the initial tenant for this unit what was the previous use of this tenant Space? ► Z-7 -1 L ➢ Are there any exterior building changes associated with the work? Yes o No If yes please describe Signature of applicant GL4a4,J c£ 4-) M-i iS Name (please print) 62 ngz Date Spa - 2i3 - ?80/ Local daytime phone #