HomeMy WebLinkAbout3221 Eastbrook Dr - Applications/Tenant Finish - 06/09/2011i yof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F0'f CoII!ns 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER/ / q11 APPLICATION DATE 4
Job Site Address 3221 Eastbrook Drive Unit # 102
PROPERTY OWNER INFO: (All owner information is required - it
is not optional) Phone #6 2- 2 � --5-�a
Last name First Name 1 5 � Rea( &4iddle
Street Address S or Cityd/1ti ? State Co Zip �Z
CONTRACTOR INFO: Company Name Dohrl 6onstruction Inc Contractor Phone # 970-490-1855
Lic Holder Name Doug Dohn City of Fort Collins License # Supervisor Cert #
Mailing Address 2642 Midpoint Drive City Fort Collins State Co Zip 86525
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1590 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 1590 # of Stories 1 Bldg Height # Dwelling Units
1-1 Floor Sq Ft 1590 2"' Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft, # of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Air Conditioning: Y(.RV Non Energy info: ( Circle appropriate choice) 1. ComCheck Z 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 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 ❑NoF_1 Temp. Pedestal Yes No
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less 200 Amp DOther,
Value of Construction (including labor, material & profit) $ 85,000
Description of Work:
Interior tenant finish of unoccupied space into Chiropractic and Wellness office.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical Gregory Mechanical Air Comfort Plumbing Neuworks Mechanical
Framer Roofing Concrete Fireplace
Solar 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_ Name Todd Annand Phone 566-2022
Distribution: White - Office _ Yellow Applicant Pink - VWVW/Stormwater.
D2 4 9"i
THIS APPLICATION EXPIRES 180 DAYS FROM APP LIC
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
•' 02 li
Application Number.f
Address:Job Site 6 r
New Building
F-34l•RUGM
Building owner:
Remodel/TF
Building owner address: -Fj!�;M �>LO / #--2,-26
Building owner phone #:
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) t 2jr,1 c WkLgts
Project square footage: !S qel
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an_h2LeLlse circle answer)
existing tenant or new tenant?
➢ If for anew tenant, is this the first tenant to occupy this space? Yes or i
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? Vkc=,i- P, G� J u�r �' o * 66jl
➢ Are there any exterior building changes associated with the work?
If yes, please describe:
SignatureFF Jof applicant
Name (please print)
/11
-ah Dat
Yes KE2
Local daytime phone #