HomeMy WebLinkAbout4745 Boardwalk Dr - Applications/Tenant Finish - 12/27/2014City of
�F.�or_t Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wwvj.fcgov com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER F7�00W &5q APPLICATION DATE 42 -�52 7-/3
Job Site Address 4745 BOARDWALK DR., FT. COLLINS, CO 80525 Unit #\ C-1
PROPERTY OWNER INFO: (All owner Information Is required - it is not optional) Phone #7 V l 2y -7 - qC
Last name �C �� First Name µ vim- Middle
Street Address Z-7 4 r 9 o A-n..-b W A L4, %2., V G City i� C O U C-1,0 S State C-D Zip Z) SZ S—
CONTRACTOR INFO: Company Name TBA Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
LEGAL INFO:
Subdivision/PUDMIRAMONT OFFICE PARK Filing# Lot# 2 Block# Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (rat including basement) 6347 EXISTING Total Garage Sq Ft 0
Residential Sq Ft Comm'I Sq Ft 775 S.F. REMODEL # of Stories 1 Bldg Height # Dwelling Units 0
1� Floor Sq Ft 6347 2n° Floor Sq Ft 0 3`d Floor Sq Ft 0 Unfiished Bsmt Sq Ft 0
Finished Bsmt Sq Ft 0 # of Bedrooms 0 # of Full Baths —0' % Baths 0 1/a Baths 3'" w E # of Fireplaces 0
Air Conditioning. YerN Energy info.( Circle appropriate choice) 1. ComCheck 2. ResChedr w/Air Sealing 11
3. ResCheck w/Blower Door 4. Simulated Performance Aftemative❑ 5. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size EXIST Sewer Tap Size EXIST Metered: Yes ZNo❑ Temp. Pedestal Yes❑ No Z
Type of Heat: 0 Gas ❑Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor, material & profit) , $ 45,000
Description of Work:
REMODEL OF -775 S.F OF A 3815 S.F. SUITE IN A BUILDING OF 6347 S.F. WORK-TO'INCLUDE, DEMOLITION OF WALLS AND
SUSPENDED ACOUSTIC CEILING, NEW WALLS, GLASS WALL, NEW SUSPENDED ACOUSTIC CEILING AND RELATED FINISHES.
RFLO('ATINr FXIST HVAr 17111711SSFR9 NFW ANn RR OrATFn I IGHTS SWITHFR Al OI ITI FTC NO STRI IrTI IRA] WORK IS RFINC nONF
Contact Name & Phone # of JOBSITE SUPERVISOR: TBA
Subcontractor Info:
Electrical TBA
Framer TBA
Solar NA
Mechanical TBA
Roofing NA
Other
Concrete NA
Other
Plumbing TBA
Fireplace NA
Other
Applicant: I hereby acknowledge that 1 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 Colli nce .and state laws regulating building construction.
Applicant Signature Print Name I-`( ('Ca-1-LEt5KA-e0I?hone lrt 70) Zz'7- tf�)fo%
Distribution: White - Office Yellow - Applicant Pink -W%AW/Stonnwater
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 970-224-6134fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
'Favav- c.O.a.0 s3,, co.
Job Site Address: +-74.5 ( cL ><- ViZ . �VrZ- a iAr, e.
New Building
Building owner:
Addition
, fL K'4- -T'-'a-� n
Remodel/TF V—
Building owner address: `1 7 f iSo ► D��i t-r� �rL s~� E c i � cVL--1�'s c
Building owner phone #: qo o o
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) lilt ¢oP►2/4�JrYL.
Project square footage: -A- 115
For commercial remodels fc tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
exi 1ng tena or new tenant?
➢ If for a new enant, 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? Yes
If yes, please describe:
Signature ot applicant
Name (please print)
v-( ( i -�'
Date
or No
( 477t)) Zo7 40i,b
Local daytime phone #
01306659