HomeMy WebLinkAbout328 REMINGTON ST - APPLICATIONS - 3/3/2010City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort+t Collm 281 N College Ave Fort Collins CO 80522 0580 Phone 970 221 6760
/ � www fcgov corn/budding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1 DO' Ina APPLICATION DATE :3 -3 l D
Job Site Address 32-8 "6„I1,Ay Co $OS24 Unit # Q
PROPERTY OWNER INFO ( II owned igforrr�auon is required - i is not optional) Phone # 110 -Z19 -106j
ah L Ho�u.bkVewG.»r�w 'j,
Last name A CC4..,w First Name�oH Middle you 41%
Street Address ZoI k/6 l,x S'1 C ity__r=L (,ollt1,1 State CO Zip 90526
Lic
Madmg, cldress L402-o)
any idam n Ll'ftx goMv-S Contractor Phone # 51C - 0 i I
tt City of Fort Collins License # b Sb9 Supervisor Cart #
IRrL4)r City Ele tI,Hi State Zip go5xy
A
Subdivision/PUD NFiling # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO Total Building Sq Ft ( t cl d g b m t) Total Garage Sq Ft
y . let cUsc .,p r.ar r 5 s
Residential Sq Ft Comm I Sti;IkQ - 1i 360 # of Stones Bldg Height # Dwelling Units
Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO
2 Floor Sq Ft
3 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths / Baths / Baths # of Fireplaces
Energy info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing U
4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door QQ
List appropriate option
Water Tap Size k%A' Sewer Tap Size OX 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
^1
Value of Construction (including labor material & profit) $ = j8G0'P'Fz X A/41 = 448 360
Description of Work See A#pj- TCXYIcd inr Nlulfiple loco:h jc wi tI y I►',.0 CKUrt^h
Contact Name & Phone # of JOBSITE SUPERVISOR t�1af" 4r,,k Q30 -s`C6-0�y89
Subcontractor Info Br"
MP—C,�61[10AC-6-I 1 UICQS� j p
Electrical 644.11ihf 0�L M Mechanicarfouc &,rs�
Plumbing k6 N4"T
AA �
Framer {:i��t rioad(k -i+o.. Roofing Or Concrete MA- Fireplace WA
Solar
Other
Other
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
conta ned herein and "
City o ot
rt Collins or finances and state laws regulating building construction
Applicant Signature C(O Print Name �10.Stlh mt%2 j PhoneQ-'0-Z19 -/0d /
Dstnbution White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
FClty}Of Planning Development and Transportation
or ` CollinsllPO Box 580
281 N College Ave
Ft Collins CO 80524
970 221 6760 phone 970 224 6134 fax
Commercial Construction Application Information
Revised 03/30/20009
Application Number 81001163
Job Site Address 3Z $ 1�2 n� �y4- SI rt 6.Il�s co 6osz y
a
New Building Addition Remodel/TF
Building owner
OuA�u.�n V e +✓ (pr^i u.� C �r r' ,t Fur 'i- Gdl' 1A r Inc
Building owner address
Building owner phone #
Z a I Ll,l �Rx S4
T40 119-1081
FJ 6o111Ln s 8057- 1
X
Name of Business Ve,-t- 61AAM'^',4� CL�lk C �; r+ 41/115 iK
Proposed Use (i a medical office bank retail etc) k5er-41'.AyorsLP
Project square footage
I',860PI
For commercial remodels £t tenant finishes please answer the following questions
➢ Is the remodel/tenant finishes for an (please circle answer)
ex'is�ting tena or new tenant?
➢ 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?
➢ Are there any exterior building changes associated ith the works a or No
If yes please describe 6d ;s e-i&M•r ►g"L s4c 12 a"
-nd+
Slgnatu a of ap0cant
Jaso. Mr-43^ol
Name (please print)
Date
4qo a 1R -(o s 1
Local daytime phone #