HomeMy WebLinkAbout1031 S Taft Hill Rd - Applications/Tenant Finish - 10/18/2013.Fort Collins
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281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
www.ftgov.com/building
APPLICATION NUMBER cV I `3
BUILDING PERMIT APPLICATION
APPLICATION
Job Site AddressJp-} 1 soaTl+ 7`Wr WCL l?WAJO Unit #
3ROPERTY OWNER INFO: (Ail owner information is required - it Is not optional) Phone # Cq3D, eizj "- t: In
ast name MI L L EyL First Name 2, Middle
itreet Address City State Zip
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WNTRACTOR INFO: Company Name Contractor Phone #
rc Holder Name City of Fcrt Collins License # Supervisor Cart #
Bailing Address City State Zip
_EGAL INFO:
3ubdiv1sion/PUD Filing # Lot # Block # Lot Sq Ft
:ONSTRUCTION INFO: Total Building Sq Ft (notinduding basement) Total Garage Sq Ft
2esidential Sq Ft Comm'I Sq Ft _ # of Stories Bldg Height # Dwelling Units
I" Floor Sq Ft
2nd Floor Sq Ft 34Floor Sq Ft
Unfiished Bsmt Sq Ft
:finished Bsmt Sq Ft # of Bedrooms # of Full Bath& % Baths 'h Baths # of Fireplaces
4ir Conditioning: YeG Energy Info: ( Circle appropdate choice) 1. ComCheck [R 2. ResCheck w/Air Sealing
I. ResCheck w/Blower Door 4. Simulated Performance Aftemativell 5. Prescriptive w/Air Sealing[] 6. Prescriptive w/ Blower Door[
31ty of Fort Collins Stock Plan # List appropriate option #s
JTILITIES INFO:
Nater Tap Size Sewer Tap Size Metered: Yes F—]NoF] Temp. Pedestal Yes❑ No ❑
rype of Heat: GasElectric Electric Main Breaker Size (Residential only) 7150 Amp or Less1:1 200 Amp []Other
dalue of Construction (including labor, material & profit) $ �% S 009) . 015
Contact Name & Phone # of JOt3SITE SUPERVISOR:
-Electrical Mechanical
Framer
Solar
Plumbing
Roofing Concrete Fireplace
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
xntained herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature AK 1�auL`.�� Print Name J0*Q 0L. LF:0+90,1P Phone 45;j-4Ld- %TAQ
(;bp..tA lcmm -% 'to IUcv5 AALH ITEcTI P.A.)
Distribution: White-Offoe Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 {MAYS FROM APPLICATION DATE
Cio
Fort Collins
Commercial
Application Num
Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Construction Application Information
Revised 03/30/2009
� 054806
Job Site Address: I awl .`:)Oc7Tk� TA FT N I LL QOPQ
New Building
Addition
Remodel/TF )<
Building owner: 2E-X KiL-LE-rL TEwaNr:-�w.Es RaOctz
Building owner address:
Building owner phone #: Xa-7-blD-7
Name of Business: PAPh- Murz-Pc+N'S TRkE `N' B*c Piz -LA
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: 1. (Q SOu ka-E FeJE
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
existing tenant or rew tenant.
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or �o
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? L )Aj r,vowti►
➢ Are there any exterior building changes associated with the work? es or No
If yes, please describe: U,)t-4- 714 15 SILL- RF- S-)cyyE.
I tjnerL- A SEpArONICE. PE-A-m iT
l6 Oc-T�c�n 1�01�
Signature of applicant Date
K-EWK3 SIhLn101J (�sa) �y l- g6E�J
Name (please print) Local daytime phone #
City of Planning, Development & Transportation Services
FOr't Collins 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 complete submittals will be reviewed.
Adopted codes: 2009 IBC, IMC, IFGC, IPC, IECC, 2008 NEC.
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Required Item U `(
) t� AdI,
Initial
Building Permit Application — Three partform to be completed by applicant.
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Building Owner Authorization — Signed and notarized by the building owner.
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I Commercial Construction Application form — Form to be completed by applicant.
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Plan Check Fee — (Fee Schedule available at Building Services front counter)
Architectural Drawings — Two copies of complete architectural plans drawn to scale showing all
floor 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
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existing building.
Energy Code Lighting Wattage Worksheets — Required for new tenant spaces or lighting alterations
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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 www.poudre-flre.org/services/permits.php for their submittal requirements.
Applicant Name kE L) 5Ac-Ao*.1 Telephone# C(5*a-g41- $660
]ob Site Address t 03 l 500T14 TA FT hf / c t.. 2pA O