HomeMy WebLinkAbout1301 Blue Spruce Dr - Applications/Tenant Finish - 02/13/2013City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Coll S 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ w Acgov.com/huilding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE 2-1I
Job Site Address 1 m1 blue Spruce Unve Unit #
PROPERTY OWNER INFO, (All owner information is required — it is not optional) Phone # 970-493-4477
Last name Pezzani First Name Amy Middle _
Street Address 1301 Blue Spruce Drive city Fort Collins Ste
CO ,:_ 80524
CONTRACTOR INFO: Company Name Dohn Construction Contractor Phone # 970-490-1855
Lic Holder Name Doug Dohn City of Fort Collins License #�� Supervisor Cert #
Mailing Address 264 _Midpoint Drive city Fort Collins State CO Zip 80525
LEGAL INFO'
Subdivision/PUD . Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 28193 Total Garage Sq Ft _
Residential Sq Ft Comm'I Sq Ft # of Stories 1 Bldg Height # Dwelling Units
1" Floor Sq Ft
2n° Floor Sq Ft
3" Floor Sq Ft
Unfiished Bsml Sq Ft
Finished Bsmt Sq Ft # of Bedrooms _ # of Full Baths _ 3X Baths _ M. Baths # of Fireplaces
Air Conditioning: YeVNo� 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 11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes W]No❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: Fv(1 Gas Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor, material & profit) $ 250,000
Description of Work: �2,Vrt p 6 jp C..i 4 Vl
Renovation of 16236 of f the existing kitchenan office space it
Contact Name & Phone # of JOBSITE SUPERVISOR: Jerry Grandt 970-567-1574
EMMM, 17=11111 i
Electrical TBD
Framer TBD
Solar NA
Mechanical TBD
Roofing NA
Other
Plumbing TBD
Concrete NA Fireplace NA
Other
Other
fi�wrrl�
space a
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 C Fort Collins ordinanUnd s ate laws regulating building construction.
Applicant Signature Print Name MaUJaWipe Phone 970-490-1855
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Distribution: White —Office Yellow —Applicant Pink—NMNJ/Stormwater
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
Revilo /7
Application Number:
UU �� l/lfCv,�J�
Job Site Address:
New Building
Building owner:
Addition
Building owner address: l�Dol t' 6- `ao"mow
Remodel/TF X
Building owner phone #: �-70' '-P 3 -gL4 77
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: — +O 1
For commercial remodels Et tenant finishes, please answer the following questions:
➢ is the remode l/te fishes for an (please circle answer)
existing tenant 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:
Name (please print)
Yes or
9,1 It 3
Date
q7O.- qqo -19 55
Local daytime phone #