HomeMy WebLinkAbout3500 John F Kennedy Pkwy - Applications/Addition or Alteration - 06/26/2012City of ' I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 10C J� APPLICATION DATE Co ak. '
Job Site Address 'J6Gb Sf IL Unit ## 3Db
PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone # ZZ J '—ss06
Last name &4km. fslve �l t���S}f FffTs First Name Middle
Street Address 3,5b6 --5T k I� & % ufN ee-5' city S State 'CC) Zip C-3-
CONTRACTOR INFO: Company Name I�N���-�56� (j\,f`,c Contractor Phone # S)O—URP
Lic Holder Name ISiCYLT 94ili�5kra- City of Fort Collins License # Z-� Supervisor Certt ##
Mailing Address 7iZ7:�5- -tse, City i/? 7 ���y �3 State_0 n Zip 6 �Z
LEGAL INFO:
Subdivision/PUD �rL`L�10 Sw� 3t7� Filing # Lot # z4:� Block # Lot Sq
CONSTRUCTION INFO: Total Building Sq Ft (not including
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft ZOZA # of Stories Bldg Height # Dwelling Units
1 s' Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/z Baths # of Fireplaces
Air Conditioning: es No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower DoorQ,,
City of Fort Collins Stock Plan # List appropriate option #s 6 I
/1
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UTILITIES INFO:
t <
Water Tap Size Sewer Tap Size 3<,Metered: �g or No Temp. Pedestal Yes or
Type of Heat: ❑ Gas UElectric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ ~�f ton
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: Gf m—T-- -11 l
Subcontractor Info:
/_ �1
Electrical�uye'(.J Mechanical
Framer Roofing Concrete,
Solar Other Other
Plumbing &LCj%+ tt W V1
Fireplace
Other
Applicant: I hereby acknowledg t t I have rea thi application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo Ilins or ' es nd state laws regulating building construction. (�
Applicant Signature Print Name VDLt(b� C-ljtD ° F-�'j� Phone /V
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Fort Collins
Planning, Development & Transportation Services
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. 9niv complete submittals will be reviewed.
Adopted codes: 2009 IBC, IMC, IFGC, IPC, IECC, 2008 NEC.
Required Item
Initlal
Building Permit Application — Three partform to be completed by applicant.
Building Owner Authorization — Signed and notarized by the building owner.
Commercial Construction Application form — Form to be completed by applicant.
Plan Check Fee — (Fee Schedule available at Building Services front counter)
Architectural Drawings — Two coplesof 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
existing building.
Energy Code Lighting Wattage Worksheets — Required for new tenant spaces or lighting alterations
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-fire.org/services/permits.pho for their submittal requirements.
Amtlicant Name ��� vai� TeleehQne# 3l 0'�/9�
lob Site Address 3SflD '5-f (/-- -5'b6
Community Planning and Environmental Services
Building and Zoning Department
Commercial Construction Application Information
Revised May 10, 2000
Application Number:
Job Site Address: 3500 5F K 7brki,3ay Unit # 3�
New Building Addition Remodel,(fp)
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) 0 eee, it e,
Project square footage: 202-1
For commercial remodels and tenant finishes, please answer the following:
❑ Is the remodel/tenant finish for an existing tenant or new
tenant?_ li-eO
o If for a new tenant, is this the first tenant to occupy this
space? ,A)
❑ If not the Initial tenant for this unit, what was the previous use of this tenant space? (If
known) 06� CL <Z�o-C e—
❑ Are there any exterior elevation changes associated with the
work? ,(/o
Describe:
%IZ�
ignature Date
calu l�
Name (Please print)
31 b--yq<?R'
Local daytime phone #
281 North College Avenue • P.O. Box 580 • Fort Collins CO 80522-0580 • (970)221-6760 • FAX (970)224-6134