HomeMy WebLinkAbout1600 Prospect Park Way - Applications/Tenant Finish - 10/22/2014City of
I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins
IS 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416-2740
/� www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER� APPLICATION DATE /V ✓w
Job Site Address 1600 Prospect Park Way
Unit # 101
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 303-442-8687
Last name Prospect East Partnership, LLC First Name
Middle
street Address 1375 Walnut, #10
city Boulder
State CO Zip80302
CONTRACTOR INFO: Company Name
Contractor Phone #
Lic Holder Name
City of Fort Collins License #
Supervisor Cart #
Mailing Address
City
State Zip
LEGAL INFO:
Subdivision/PUD
Filing# Lot#
Block #_ Lot SgFt
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement)
Total Garage Sq Ft
Residential Sq Ft Comm l Sq Ft 4,900
# of Stories Bldg Height
# Dwelling Units
I3' Floor Sq Ft 2nd Floor Sq Ft
3n' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms _
# of Full Baths _ 3/. Baths _
'/: Baths _ # of Fireplaces
Air Conditioning: Ye✓ NoP Energy info: ( Circle appropriate choice ) 1. ComCheck ❑ 2. ResCheck w/Air Sealing11
3. ResCheck w/Blower Door 11
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing F1 6. Prescriptive w/ Blower Door (�
City of Fort Collins Stock Plan # List appropriate option #s \GI
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes �No❑ Temp.Pedestal Yes❑ No ! U
Type of Heat: F/I Gas Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less 11I /200 Amp Other 1 _
Value of Construction (including labor, material & profit) S 99l000 `Fh QA . n6n
Description of Work:
Remodel of existing interior finishes for PI Encorp".
Contact Name & Phone # of JOBSITE SUPERVISOR: Rob Van Vleet, WIN Reynolds (303) 442-8687
Subcontractor Info:
Electrical TBD Mechanical TBD Plumbing TBD
Framer TBD Roofing TBD Concrete TBD Fireplace N/A
Solar N/A 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 ort Collins ordin ces and state laws regulating building construction.
Applicant Signatureyr' Print Name 'l 4A w GUMIAI Phone 3 03'y71-398y
10 za-d WGu (LOt c it
Distribution: White - Office Yellow - Applicant Pink -WWW/Stonnwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Planning, Development and Transportation
F6r` CoWnj PO Box 580
i 281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970.224-6134 fax
Commercial Construction Application Information
Application
Job Site Address:
New Building
Building owner:
Building owner address: l
Revised 03/3MOO9
U
Addition
elk
-1�lo)
Remodel/TF
1 , 1,LC
)17 i�r�,•-)fie/ 0n
Building owner phone #: •303 �'� -81og7
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) Ol G'e"
Project square footage: 49D0
For commercial remodels & tenant finishes, please answer the following questions:
D is the remodel/tenant finishes for an (pleas circle answer)
existing tenant or ew tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or' No
D If not t
Space?
tenant for this unit, what was the previous use of this tenant
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
Signature of applicant Date
Name (please print)
Local daytime phone #