HomeMy WebLinkAbout1801 S College Ave - Applications/Tenant Finish - 10/10/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER e) I _f �O f5 :��O APPLICATION DATE 10 , (O `
Job Site Address /pia► 5,,,_4.m a of LaIpK Unit # T2
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name kA.N AAJ First Name LRS Middle
Street Address 196 T ALm.i ,t 1:2aAtrrc City 'ktrrk lr.,L1 rNJ-, State_g�r) zip $t75ZL
CONTRACTOR INFO: Company Name :11ta! Contractor Phone # k7Q) (I q0 - 1665
Lic Holder Name n.,rLA-s J- YL,2&W11l City of Fort Collins License # Supervisor Cert #
Mailing Address'A6" raLDkpew irr, 'jam,matt City M r 4aI fNS State CU zip 90.S
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft Sr Is25 # of Stories Bldg Height # Dwelling Units
181 Floor Sq Ft
2nd Floor Sq Ft
3' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths Y: Baths # of Fireplaces
Air Conditioning: Ye Non Energy info:( Circle appropriate choice) 1. ComCheck ❑ 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door El4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doora
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO:
Water Tap Size r*nefrwc Sewer Tap Size lr* wWhN& Metered: Yes No[] Temp. Pedestal Yes❑ No
Type of Heat: NfGas Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less 11 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 400�C°-
Description of Work: ffUN &jaa_ TSOUlar!- noJI6,11
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical T6D Mechanical MN Plumbing 'f-Nn
Framer
Roofing UVAn Concrete re ass Fireplace
Solar WA&= Other Other 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.
Applicant Signature Print Name A<•g < <A44 Phone L190 • I SKS
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
J
G
City of Planning, Development & Transportation Services
Fort Collins Community Development & Neighborhood Services
281 North College Avenue
053��/8 Fort Collins, CO 80524
970.416.27402740
Building Permit Application Sub al 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 complete submittals will be reviewed.
Adopted codes: 2009 IBC, IMC, IFGC, IPC, IECC, 2008 NEC.
Required Item' r
Building Permit Application — Threepartform to be completed by applicant.
Building Owner Authorization — Signed and notarized by the building owner.
-Commercial Construction Application form — Form to be completed by applicant.
Plan Check Fee — (Fee Schedule available at Building Services front counter)
Architectural Drawings — Two copies of complete architectural plans drawn to scale showing all
fl plans, reflected ceiling plans with lighting layout, accessible toilet room layout, and interior
Exterior elevations if modified. Label the intended use of all rooms or areas on the floor
//1elevations.
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
existing 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
wattage package available at the permit counter. Must comply with 2009 IECC.
See Poudre Fire Authority at w�w/w.poudre-fire.ora/services/permits.php for their submittal requirements.
Applicant Name _ Y�yout$ Telephone# y9'6- I8S4_
Job Site Address 1$0( 6ot-m ec4tnAnEz A-dy: "e T?
City of
FF6rt Collins
Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
4 7)
Application Number:
Job Site Address: lfr of Sant -At Cd L l3AnE 2,1111 U
New Building
Addition
Building owner: �s �i.►
Building owner address: iuo,�
Building owner. phone #:
Name of Business: �'mkan
Remodel/TF
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:
For commercial remodels £t tenant finishes, please answer the following questions:
➢ Is the remodel/tenant 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? .Yes or No
➢ If not t
Space?
tenant for this unit, what was the previous use of this tenant
➢ Are there any exterior building changes associated with the work? Yes or6:0)
. If yes, please describe: 1.
ignature of applicant
Uc�S.S
Name (please print)
Date
y2(o - )� s
Local daytime phone #