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Home My WebLink About3500 John F Kennedy Pkwy - Applications/Tenant Finish - 09/07/2012City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES �t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER § L APPLICATION DATE V i / 10- Job Site Address STl ,'FaA u�ey Unit #_ Z: PROPERTY OWNER INFO: (All-ow,nelr information is required - it is not optional) Phone # Last name AOr�2& &O r M W"�r L'�irst Name l Middle /+` Street Address ��tw �� L �yj 1ZZ /� city 454 �Ib ko 5 State c�./pp�j Zip O �s- CONTRACTOR INFO: _Company Name 641&�-rrpe �-r7fl�tTt,LiM5 Contractor Phone # 31 O-`1/cy Lic Holder Name 1770oi 1 ��I�S ,�-{�City of Fort Collins License #� Supervisor Cert A533 -E Mailing Address 7ili� J �� "` /� City I cl W S State 60 Zip ?M SZ( LEGAL INFO: 11 _ Subdivision/PUD�Q(ihLc l� Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft 1 st Floor Sq Ft Finished Bsmt Sq Ft ' Comm'I Sq Ft / b # of Stories I Bldg Height # Dwelling Units 2n' Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms ' # of Full Baths — '/< Baths — '/z 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 #s Water Tap Size ) Sewer Tap Size 9 Metered: &9 or No Temp. Pedestal Yes or No Type of Heat: [jaGas Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material & profit) $ / 60d Description of Work: (91� Ce '�CAanrt_ i V•S� . JJfh� t.�u Qx `� _ pt`/ t.�(jCe4 Ir Contact Name & Phone # of JOBSITE SUPERVISOR: Cry . I o -Wi Subcontractor Info:: ```` (� /� Electrical �t� x 6b Mechanical W IJi Plumbing W Jpefta/�t— Framer Solar Roofing Other Concrete Other Fireplace Other Applicant: I hereby acknowledge t t I ve re d t s application and state that the above information is correct and agree to comply with all requirements contained herein and City of Fo ollins nc and state laws regulating building construction. / '"� j Q Applicant Signature Print Name �v }�u�t �� Phone 31t �! �� Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Community Planning; and Environmental Services Building and Zoning Department I Ih' 1 �'uft 1 U��IIt) Commercial Construction Application Information Revised May 10, 2000 Application Number: Job Site Address: c��z Unit # Z' 16 New Building Addition Remodel/TF 74 Name of Business:er�Q4"` Proposed Use: (i.e. medical, office, bank, retail, etc) Oar'' C� Project square footage: %lc> 5 r For commercial remodels and tenant finishes, please answer the following: �A--Is the remodel/tena finish for an existing tenant or new tenant? Xis o If for a new tenant, is this the first tenant to occupy this space? Igo ❑ If not the initial tenant for this unit, what was the previous use of this tenant space? (If known) 6 u., ❑ Are there any exterior elevation changes associated with the work? A(O Signature Gf.-' �5-7 del Name (Please print) Date -51 o�yrg)' Local daytime phone # 281 North College Avenue 9 P.O. Box 580 9 Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134 Fort Collins Planning, Development & Transportation Services Community Development & Neighborhood Services 281 North College Avenue Fort Collins, CO 80524 970.416.2740 Building Permit Application Submittal Requirements for Commercial Tenant Finish (Revised 12-3-2010) The items listed below must be included in all new commercial applications for building permit. Please initial each item indicating that it is included in the submittal. Only comulete submittals will be reviewed. Adopted codes: 2009 IBC, IMC, IFGC, IPC, IECC, 2008 NEC. - Required Item' In' / -Building Permit Application — Three-partform to be completed by applicant. B 'lding Owner Authorization — Signed and notarized by the building owner. 'Commercial Construction Application form — Form to be completed by applicant. Pan Check Fee — (Fee Schedule available at Building Services front counter) (�D Architectural Drawings — Two copies of complete architectural plans drawn to scale showing all J/ or plans, reflected ceiling plans with lighting layout, accessible toilet room layout, and interior «<///��/ elevations. Exterior elevations if modified. Label the intended use of all rooms or areas on the floor plans. Architect/Engineer Stamp is required for: • All new commercial buildings & additions to existing commercial buildings. • All new residential buildings more than four (4) dwelling units and additions to existing residential buildings containing more than four (4) dwelling units. • All commercial tenant finish work involving structural modifications. • All commercial tenant finish work where the scope of work involves more than five thousand (5,000) square feet. • All projects creating a Change of Occupancy. Structural Drawings - Any structure added or modified: Two copies of structural documents bearing an original seal & signature of an architect/engineer registered in the State of Colorado. Plans shall verify that the design meets the loading criteria per current building code. Electrical, Plumbing, and Mechanical Drawings - Two copies of drawings to any modifications to -ekisting building. Energy Code Lighting Wattage Worksheets — Required for new tenant spaces or lighting alterations more than 50%. Submit lighting wattage worksheet to include wattage allowance and proposed. Lighting IJ wattage package available at the permit counter. Must comply with 2009 IECC. See Poudre Fire Authority at www.00udre-fire.org/services/oermits.oho for their submittal requirements. Jobs! Address ai5nb -Itt�2-1 0