HomeMy WebLinkAbout4354 S College Ave - Applications/Tenant Finish - 05/09/2013Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 a Phone: 970-416-2740 a 9
www v fcgocom/building V
BUILDING PERMIT APPLICATION
APPLICATION NUMBER e) I - O 1 1 � (G APPLICATION DATE 5-19. / 3
Job Site Address4354 S College Ave Unit #7
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # 303-399-2555
Last name Trasen First Name Matt Middle
Street Address 299 Milwaukee St city Denver State CO Zip80206
CONTRACTOR INFO: Company Name Boots Construction Contractor Phone # 303-721-5810
Lic Holder Name James E. Boots City of Fort Collins License # B-412 Supervisor Cent # 1102-B
Mailing Address 4949 South Syracuse Street City Denver State CO Zip 80237
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not induding basement) 2549 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 s' Floor Sq Ft
2nd Floor Sq Ft
3m Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces
Air conditioning: YerNon Energy info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ S. 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 E]NoEl Temp. Pedestal Yes❑ No El
Type of Heat: Gas Electric Electric Main Breaker S,,ii/ze (Residential only) Ill50 Amp or Less 200 Amp DOther
Value of Construction (including labor, material
//&'' profit) $
Description of Work: �ro4 c 1'v,, 0_— Zi-- _..4 in r X, c✓r.5 /15 ti <5C>Xi74
Cam.40k /S.ir •✓ �/ ,i
Contact Name & Phone # of JOBSITE SUPERVISOR: Jason Heidemann 720-933-8787
Subcontractor Info:
Electrical Mechanical
Framer Roofing
Solar Other
Concrete
Other
Plumbing
Fireplace
Other
Applicant: I hereby acknowledge that I have read Pisa plicati and state that the above information is correct and agree to comply with all requirements
contained herein and City of, Fort'Collin rdina s a d sta aws regulating building construction.
Applicant Signature / Print Name '�sri/7 l �IC�+•rr�/1 Phone 7-�J� f? 67d
Distribution: White - Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Fort f [tins
0 e.
Planning, Development and Transportation
PO Box 580
1 N College Ave
ollins, CO 80524
221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: 1�35
%qe Ae . ////7,4- 7 8GS2-5-
New Building Addition Remodel/TF
Building owner: , 107#Fw 7 W -jC- W92 -2 F4t-Zr, , 4�4,c
Building owner address: �299' 122,b aakee SfTPf Su, Y W SGi
Building owner phone #: 02 2 -/'C/ —022-7
Name of Business: ;��/�%��TS
Proposed Use: (i.e. medical, office, bank, retail, etc) ?";;, T19ZZI
Project square footage: LS�<q 4
For commercial remodels 8 tenant finishes, please answer the following questions:
➢ Is the remo finishes for an (please circle answer)
existing tenan 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? RF rAlL
➢ Are there any exterior building changes associated with the work? Yes or
If yes, please describe:
.1ES/��/r�/f�/N
Name (please print) Local daytime phone #