HomeMy WebLinkAbout4900 BOARDWALK DR - APPLICATIONS - 3/30/2017City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Coll s 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
R I n BUILDING PERMIT APPLICATION
APPLICATION NUMBER ✓ I I `� —1 9 APPLICATION DATE 'JQ'
Job Site Address 43m FoA"wAuC Dx• Ft. GotLims Unit.# , Ci1 U b ilQu`i�
.PROPERTY OWNER INFO, (All owner information Is required - It Is not optional) Phone # U30 - ' oO - a3 1 s
Last nameM49_7rFAMrtr First Name Middle
Street Address 7701 (?y 776nFr 6L lJ R7- 057-
A Clty S A 9 GIC09 State 7 C Zip !0 05 Z3
CONTRACTOR -INFO Company Name 78 fl Contractor Phone #
Lic Holder Name City of Fort Collins License # Supervisor Cart #
Mailing Address City State
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ZoQQ Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft ZCCO # of Stones_ Bldg Height # Dwelling Units
1° Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO,
2nd Floor Sq Ft
31d Floor Sq Ft
# of Bedrooms # of Full Baths % Baths
Unfiished Bsmt Sq Ft _
'/2 Baths # of Fireplaces
Energy Info ( Circle appropriate choice ) 1 ComCheck 2 ResCheck w/Air Sealing
4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
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) $ 651,A%A-Tic -}3000V , d0
Description of Work t-OW612 VAN'M,40 ANA KITCH4116 Ce,ANT62TQ? 7o AAR H61414TS
vP1G �vdolL ^[tc6 l�tf!�1vt�
Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
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
.Ziur_AMP R67rA5#►T•AI_ 31t• Zo3. 3bo 1
Applicant Signature T A,k 14 Print Name L IA K NIGHj Phone
,' S 440jr a7v---t--,joNsr-
Distribution White — Office Yellow — Applicant Pink — W W W/Storrnwater
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 03/30t2009
Application Number:
Job Site Address: Iy 04 139 A It A w A Lk QZI v 6 - G ubh WL
New Building
Addition
Remodel/TF X
Building owner: ET. ('6EA W-S MkC -rf FAAA I LJ 2 s r
Building owner address: 2101 9M T76F f 16L4 rip . 0AI4 BQotlK,
XL fV3-z3
Building owner phone #:
6.10- 368 • 7.79s
Name of Business: SN La N D %cr i Mwer( c. 90DL 6"STA Yr
Proposed Use: (i.e. medical, office, bank, retail, etc) — lW 1JTfOV 4 M k L T r f AP. icy
Project square footage: 4e 16414
For commercial remodels It tenant finishes, pleas? answer the following questions:
D Is the remodel/tena finishes for an (please circle answer)
existing tenant or new tenant?
• If for a new tenant, is this the first tenant to occupy this space? Ye 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? es or No
If yes, please describe: Qt%w4d' ir20wr'f 6-w7P4tJcS
LftnroiNii -w M6GT MA D►µ4wY,oa.s
lmwhwa V5i06UTf/Fv a
Signature of applicant
Vy : N KNi4wr V McwT kg
Name (please print) THE lowtica
3. 3-0-13
Date
31Z 103 36ai
Local daytime phone #