HomeMy WebLinkAbout123 N College Ave - Applications/Tenant Finish - 11/23/2012City of
Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE y/ �3 _/�
Job Site Address 123 North College Avenue Unit #206
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # 970-407-7806
Last name ES 123 LLC First Name Middle
Street Address 123 North College Avenue ste 350 city Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name Starwood Construction Contractor Phone # 970-218-9824
Lic Holder Name Sandy Willison
City of Fort Collins License # C1-27 Supervisor Cart # 597-C1
Mailing Address 452 S Link Lane, Fort Collins, 80524 city Fort Collins
LEGAL INFO:
Subdivision/PUD
State CO Zip 80524
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3821 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 3821 # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3rd Floor Sq Ft
M
Air Conditioning: YerNou 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 #
# of Bedrooms # of Full Baths '/. Baths
List appropriate option
Unfiished Bsmt Sq Ft _
/2 Baths # of Fireplaces
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes 0Noo Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ ` 2 0 000, 00
Description of Work:
Remodel of suite 206 and 208 including connecting the two suites. Work to be completed in 2 phases.
Contact Name & Phone # of JOBSITE SUPERVISOR: Sandy Willison 970-218-9824
Electrical Northwest United
Framer
Solar
Roofing
Other
Mechanical High Plains plumbing Aggie
Concrete
Other
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 Co !! dinances and state laws regulating building construction.
Applicant Signature Print Name Sandy Willison 970-218-9824 Phone 970-218-9824
Distribution: White -Office Yellow -Applicant Pink -W WW/Stormwater
R. 'IDP_ICATION (EXPIRES 180 DAYS FROM APPLICATION DATE
F®i of ollins
Commercial
Application Number:
Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Construction Application Information
Revised 11313012109
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Job Site Address:
New Building
Addition
Building owner:
Remodel/TF_
Building owner address: /a� /�I ���p�✓ �� .�d
Building owner phone #: %7a L/d7 7Y'o6
Name of Business: l7 na,-xv,
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: ]�/
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
xis ing enan 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 with the work?
If yes, please describe:
Signatu(e of applicant
i
�A�y / - I� l �
Name (please print)
Yes or No
Date ��22
U //Oyy
Local daytime phone #