HomeMy WebLinkAbout328 REMINGTON ST - APPLICATIONS - 4/26/2011COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
Fort Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 81 (y ' - r' APPLICATION DATE VA/ I I
Job Site Address 32? S- , er4- j,ks Ge 13cr52y Unit #
PROPERTY OWNER INFO: ( owner inforrrtation is required - it is not optional) Phone #
n&2Wo�t o�p�We —
Last name '-1oAV�k nr�cw Ci�11t� First Name N1CacS0h Middle
Street Address 328 &:gl4A r � City *r4( (L\*t s State60 Zip WS 2`1
CONTRACTOR INFO: Company Name i� ►^� cJ�14 Contractor Phone #
Lic Holder Name'6,'\ i"l�+�a�` City of Fort Collins License # Supervisor Cert #
Mailing Address 22 $ �^ ��. City -61CI -i State 6-0 zip 605L'j
LEGAL INFO: ( '�"`M AIL
Subdivision/PUD Or
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) / Total Garage Sq Ft
Residential Sq Ft / Comm] Sq Ft # of Stories /' Bldg Height # Dwelling Units
i
1 st Floor Sq Ft e-� 2°d Floor Sq Ft
3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms e'- # of Full Baths _� 3/ Baths _e-- '/2 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 /f/)' 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) $.% too 00 D ��
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical V0k7 of jn.,�, Mechanical Plumbing
Framer Roofi Concrete fs� G.' _ Fireplace
Solar Ot r gU ' 44ft CA111�"^'` It er Other
Applicant: I hereby acknowledge that I hav read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City o o Collins,(ordinances and state laws regulating building construction.
Applicant Signature 0- li-` r
Print Name �pASOK MC6,L7 Phone T76-Z('T-10$
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 Cotlege Ave
Ft Coltins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03 / 30 / 2009
Application Number.
BI "0����
Job Site Address: 3Z a .�"�^1 �' S�- _ � � I ��� s �S L
New Building
4-11-
a 1-1114)"Ac j "-Ap
.Additian 44- Remodel/TF
Building owner: AA01,Aa"AVC�, �'"`^"^��� G"et'k-',
Building owner address:
Building owner phone #:
3 Z 8 Ae-4— S-� G Gel 1 \A f 80 S 1-1
Name of Business: M J•a`"` (MM.M`� GLUA,
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:
0-
For commercial remodels ft tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
xlsting ten 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 cha
If yes, please describe:
ated � *th the work? Yes or No
- m 6 4.-
v
nA�
Signatur of appli ant Date
Name (please print) Local daytime phone #