HomeMy WebLinkAbout4703 BOARDWALK DR - APPLICATIONS - 7/7/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins. 281 N. College Ave. !, Fora Collins. CO 80524 + Phone: 970-416.2740
www.fcgay.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1. �0*y -`'� - APPLICATION DATE - - -�-
Job Site Address_- 4703 B. Boardwalk Drive _ Unit #3
PROPERTY -OWNER INFOr (All owner information is required — it is not optional) Phone # 970-226-3990
Last name Vaun
9 -- haAllan. E
- - - - First Name _ . Middle -- - - - - - - - - -
Street Address 1404 Richards Lake Rd cry, Ft Collins state CO Zp 80524
- _
CONTRACTOR INFO: Company Name Starwood Construction Contractor Phone # 970-490-1813
Lie Holder Name Sandy Willison - City of Fort Collins License # G1-27 Supervisor Cert # 597-C1
Mailing Address 452 S. Link Lane city Ft. Collins State CO Zip 80524
LEGAL INFO:
Subdivision/PUD miramont office condominium ding # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: _ Total Building Sq Ft (not including basement) TotalGarage Sq Ft
Residential Sq Ft _ _ _ _ Comm'I Sq Ft 1131 # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft 2n° Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft _
Finished Bsmt Sq Ft E_-
#of Bedrooms _ # of Full Baths % Baths _ 1/2Baths # of Fireplaces
Air Conditioning: Ye[]NEnergy Info: ( Circle appropriate choice) 1. ComCheck 2. ResCheckc w/Air Sealing
3. ResCheck w/Blower Door4. Simulated Performance Alternative 6. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Doofl
City of Fort Collins Stock Plan #' - List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes [:]No[] Temp. Pedestal Yes❑ No ❑
Type of Heat:El Gas Electric Electric Main Breaker Size (Residential only) �160 Amp or Less 1-1200 Amp Other
Value of Construction (including labor, material & profit) $ 6000.00
Description of
Relocate er
Contact Name & Phone # of JOBSITE SUPERVISOR: Sandy Willison 970-218-9824
Electrical Northwest United Mechanical Plumbing
Framer _ Roofrng Concrete _ _ .. Fireplace ._
Solar Other Other Other
Applicant: 1 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 Sandy Willison phone 970-218-9824
Distribution; White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
CiW' Collinsf j Planning, Development and Transportation
art 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: _
10
_
..d O a ��,k�c lG irVe u,,,
Job Site Address: 7 3 l3 � � /New Building. _ Addition Remodel/TF e �L
Buildin owner: i a� V -►
Building owner address: )�'/oy . l�� ds La + Rm /)ca- ,
Building owner phone_ -
Name of Business:
Proposed Use (i.e medical, office, bank, retail; etc) �f
Project square footage: /0/
For commercial remodels & tenant finishes, ,please answer the following questions:
➢ is the remo ishes for an (please circle answer)
exist tenant r 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 with the work? Yes or
if yes, please describe:
ature of applicant
1 4
Name (please print)
Date
2- ZRZ
.
Local daytime phone #