HomeMy WebLinkAbout619 S College Ave - Applications/Tenant Finish - 05/06/2016F&t_Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
421
APPLICATION NUMBER ` q APPLICATION DATE & [ k
619 S. COLLEGE AVE.
JOD Site Address unit 4F
970-221-2636
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
BOHEMIAN FOUNDATION
Last name First Name_
262 E. MOUNTAIN AVE
Street Address
TBD
CONTRACTOR INFO: Company Name
Lic Holder Name
I►Kil5rel[a
FORT COLLINS
City
Contractor Phone #
City of Fort Collins License #.
Mailing Address City.
CO 80524
State Zip
Supervisor Cert #.
State Zip
LEGAL INFO:
subdivision/PUD HARRISON'S ADDITION Filing # Lot # 4 Block # 116 Lot Sq Ft 9'500
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 13,583 Total Garage Sq Ft N/A
Residential Sq Ft 0 Comm] Sq Ft 14,890 # of Stories 2 Bldg Height 261-811 # Dwelling Units 0
151 Floor Sq Ft 7,147 2nd Floor Sq Ft 6,436 31d Floor Sq Ft N/A Unfrished Bsmt Sq Ft N/A
Finished Bsmt Sq Ft 1,307 # of Bedrooms N/A # of Full Baths N/A 3/ Baths N/A 1/ Baths N/A # of Fireplaces N/A
Air Conditioning: Yee✓ No Energy info:( Circle appropriate choice) 1. ComCheck 2 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Dool
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size 1 /211 Sewer Tap Size 211 Metered: Yes No Temp. Pedestal Yeso No
Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less ❑ 200 Amp Other Type of Heat: ❑ Gas
Value of Construction (including labor, material & profit) $
226,150
Description of
Tenant Improvement for existing sprinkled core and shell. rea of work Is 4,523 SF on the second floor.
Contact Name & Phone # of JOBSITE SUPERVISOR: TBD
Subcontractor Info:
Electrical TBD
Framer TBD
Roofing
Mechanical
N/A
m
Concrete TBD
:D
Plumbing
Fireplace N/A
Solar 'IOther Other Other
Applicant: I herebyacknowlg4p tho^ have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City offilort C Ilir s ordinances and state laws regulating building construction.
Applicant Signature Print Name_ V_ILE:_`( IAlPp5 Phone `b-70 _ZZI -2-63b
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
City of Planning, Development and Transportation
F®rt 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
Application Number:
Job Site Address: 4, ( f) 5, Co L-L-t—::: cT'E A\/�-7-
New Building Addition
Building owner:
Remodel/TF
Building owner address: ��� E- MoUOLA-I J Ava• a c- (zLt✓IWS go5�4
Building owner phone #: -9-70 - �- L 2-&3&
Name of Business: R40 Us�L �tsTtz-�G�
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: A 1 5 a3 -5F
For commercial remodels £t tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please c'_ answer)
existing tenant 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?
If yes, please describe:
Sierfature of
Yes or S
5-/H��L
Date
970 — 221 - 2-
Name (please print) Local daytime phone #