HomeMy WebLinkAbout3300 S College Ave - Applications/Tenant Finish - 05/27/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER _f i 1 I APPLICATION DATE t t W—A IT UI
A _ w
Awl
PROPERTY OWNER INFO: (All owner information is required — it is not optional)Phone# q, ' 0 1 b
Last name A �2 A� .L<, I 1 C� First Name i� l'�j l Xj ER Middle
Street Address --Z,��)Oo • L Q^ } Ay City � T L91 _A�J` State C--d Zip
CONTRACTOR INFO: Company Name �T�� �� L Ds� Contractor Phone #
Lic Holder Narne City of Fort Collins License #
Mailingc'drCity
LEGAL INFO:
Supervisor Cert #
State Zip
Subdivision/PUD Filing # /' - �fLLo�ot # Block # Lot Sq Ft
4
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) ) �-YJ Total Garage Sq Ft
Residential Sq Ft Comm] Sq Ft:1 P�b�-b # of Stories Bldg Height # Dwelling Units
Is' Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: es No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2nd Floor Sq Ft
3'd Floor Sq
# of Bedrooms # of Full Baths
Ft. Unfiished Bsmt Sq Ft
% Baths /z Baths # of Fireplaces
Energy info: ( Circle appropriate choice ). ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option #s
Water Tap Size �_ Sewer Tap Size Metered Yes r No Temp. Pedestal Yes or No
Type of Heat: VGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp qr Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) {$ -f f 3an 100c?? ✓/d/Q/� _ t�
Description of Work: t—V l Ly t �, % 5�—[ �U i�f�y�ii — WinQ e J.X.L.•*xtA
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Roofing
Mechanical
Concrete
Plumbing
Fireplace j
Solar Other Other Other
Applicant: I here acknow d e th have ad this application and state that the above information is correct and agree to comply with all requirements
contained herein and City f Fo C lins ordi antes and state laws regulating building construction.
Applicant Signature Print Name 1� )4LPhone73LZZ_j�
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
60A- -Lq
0ty Of Planning, Development and Transportation
Fort Collins1PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address:
nil 097F
3-3Oa lltq--/
New Building V Addition
Building owner:
Building owner address:
Building owner phone #:
Name of Business: CD -
Remodel/TF
Proposed Use: (i.e. medical, office, bank, retail, etc)�C,d�li4�
Project square footage:
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for =tenant?
wer)
existing tenant or
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or(F)
➢ If not th ' itial tenant for this unit, what was the previous use of this tenant
Space? �tts 1
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe: E-1 Q it d f;VU1--XIU 'i-)N
Sighature of applicant
Name (please print)
C'-YJ ° I -
Date
-f60A - TLAOO
Local daytime phone #
Cam)-2�- 6\cb`'46k�
-- --,---- - - --- -- -- - -- - --- - -- - - -- --
CHECKSHEET
NEW COMMERCIAL - INDUSTRIAL RESIDENTIAL BLD
PLAN REVIEW —ALL SQ. FOOTAGES VERIFIED--- j
PLAN REVIEWER INITIALS
New Mixed -Use - Commercial/Residential Only:
Commercial Sq. Footage Entered ❑ 9 7
Residential Sq. Footage Entered ❑
Verify Average Res. Sq. Ft. Entered ❑
Correct SIC Code (99117-Res.-Mixed Use) ❑
(Note: Long Term Care- Independent Living
Facilities are Residential Sq. Ft., Assisted Living &
Nursing Homes are Commercial Sq. Ft.
New Mixed -Use - Commercial/Industrial Only:
Commercial Sq. Footage Entered ❑
Industrial Sq. Footage Entered ❑
Correct SIC Code Entered ❑
(Verify correct use with SIC codes — Enter SIC code for use
with most square footage)
New Commercial Only:
Commercial Sq. Footage Entered ❑
Correct SIC Code Entered ❑
(Check SIC use list to verify commercial use)
New Industrial Only:
Industrial Sq. Footage Entered ❑
Correct SIC Code Entered ❑
(Check SIC use list to verify industrial use)
FOR NEW BLDG. WITH RESAND./COMM. SQ. FOOTAGE — Use SIC
Code for Res -Mixed Use (99117) and enter sq. footages in each category —
verify Ave. Res. Sq. Feet has an entry
slindell H:\BLD_INSP\B&Z Admin Team\Checksheet - Multi Use Bldgs.doc 11/01/2007