HomeMy WebLinkAbout1715 W Mountain Ave - Applications/Addition or Alteration - 11/09/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ?? \ ` t O20 1 APPLICATION
Job Site Address 1715 W. Mountain Ave. Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (970) 416-2910
Last name Brewer First Name Julie Middle J.
Street Address 1715 W. Mountain Ave. City Fort Collins State CO Zip 80521
CONTRACTOR INFO: Company Name Dohn Construction, Inc. Contractor Phone # 970-490-1855
Lic Holder Name Douglas Dohn City of Fort Collins License # Supervisor Cert #
Mailing Address 2642 Midpoint Dr City Fort Collins . State CO zip 80525
LEGAL INFO:
Subdivision/PUD City Park Filing # Lot # Block # Lot Sq Ft 16950
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 7077 Total Garage Sq Ft NA
Residential Sq Ft NA Comm'I Sq Ft 7077 # of Stories I Bldg Height 20' # Dwelling Units 0
Is' Floor Sq Ft JOW 767Z 2ntl Floor Sq Ft• ' NA 31" Floor Sq Ft NA Unfiished Bsmt Sq Ft NA
Finished Bsmt Sq Ft NA # of Bedrooms NA # of Full Baths NA % Baths Na 'h Baths Na # of Fireplaces NA
Air Conditioning: YeS No0 Energy info: ( Circle appropriate choice) 1. ComCheck Z 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance AlternativeF1 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # List appropriate option
UTILITIES INFO:
Water Tap Size Ex Sewer Tap Size Ex Metered: Yes VNo[] Temp. Pedestal Yes❑ No Z
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) �150 Amp or Less 200 Amp Other
Value of Construction (including labor, material & profit) $ b �o -)�:)O. ac--I.
Description of Work:
Interior & Exterior renovation consisting of new HVAC, lighting, roof, and interior finishes throughout.
Contact Name & Phone # of JOBSITE SUPERVISOR: Eric Boehner 566-7357
Subcontractor Info:
Electrical TBD
Framer TBD
Roofing
Mechanical TBD
Concrete TBD
Plumbing
:A
Fireplace NA
Solar NA Other Other Other
Applicant: I hereby acknowled at 1 hav e d this ap ication and state that the above information is correct and agree to comply with all requirements
contained herein and City of ort Collins dinan s a state laws regulating building construction.
Applicant Signature Print Name Eric Boehner Phone 566-7357
Distribution: White - Office Yellow- Applicant Pink - VOAW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
FCity of Planning, Development and Transportation
®rt Collins PO Box 580
� r 281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
C om me rY If o tr c 'o i lion Information
'ete•03 V
Application Number:
Job Site Address: 1 715 W. Vo-Av-e-.
New Building . Addition
Building owner:
Building owner address: 1 `7 ! 5- LJ Mou.&&-,�
Building owner phone #:
Name of Business: Fort CoILw, �- 46v5, i
Remodel/TF
Proposed Use: (i.e. medical, office, bank, retail, etc) OW, CXL-
Project square footage: % h� 7 5f
For commercial remodels ft tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
e 'men or new tenant?
➢ If for a new tenant, 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? � or No
If yes, please describe: a -at I n W54L ' �
ature of applicant
ll �ql_j�
Date
Name (please print) Local daytime phone #