HomeMy WebLinkAbout3617 S College Ave - Applications/Tenant Finish - 06/07/2016Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F®rt V 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER I �/ C/ V 1 APPLICATION DATE lY { 1 169
Job Site Address4gff College Avenue Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 720-438-2505
Last name McFetridge First Name Luke Middle
Street Address 630 15th Avenue, Suite 100 city Longmont State CO Zip 80501
CONTRACTOR INFO: Company Name Swift Builders, LLC Contractor Phone # 970-682-4230
Lic Holder Name Derek Cohen
City of Fort Collins License # B-479 Supervisor Cert # 3897-B
Mailing Address PO Box 272430 City Fort Collins
LEGAL INFO:
Subdivision/PUD
Filing # Lot #,
State CO Zip 80527
Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2,725 Total Garage Sq Ft
Residential Sq Ft Comm1 Sq Ft 2725 # of Stories Bldg Height # Dwelling Units
151 Floor Sq Ft
2"11 Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 9/ Baths '/. Baths 2 # of Fireplaces
Air Conditioning: Y& Non Energy info: ( Circle appropriate choice ) 1. ComCheck Z 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes WINoll Temp. Pedestal Yes❑ No Z
Type of Heat: n Gas Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) Ili150,000
Description of Work: a dd i r q 2 IqLuu I Z ba-ho S,
Tenant improvements for a Lasik laser surgery office in an existing building. tT11 A N + 10c7r Gt
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Contact Name & Phone # of JOBSITE SUPERVISOR: Derek Cohen (970) 825-9400
Subcontractor Info:
Electrical
Framer
Solar
Mechanical
Roofing
Other
Concrete
Other
Plumbing
Fireplace
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 Fo Co ins rdinan sand state laws regulating building construction.
Applicant Signature Print Name
Derek Cohen Phone 970-825-9400
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater
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City of Planning, Development and Transportation
Fart Collins PO Box 580
281 N Coltege Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
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Application Number:
Job Site Address: �l 7
New Building
Addition
Building owner: Lv4f- Mt' fOr pu)eik'
Building owner address: 307 5� 60i LI6 E
Building owner phone #: `72o-'43S-25 05
Name of Business: 1% &)ENII<1-t, Of f CLIN,(-
Remodel/TF . V1_
Proposed Use: (i.e. medical, office, bank, retail, etc) MILD )GiA-L
Project square footage: 2 J 2 S
For commercial remodels Et tenant finishes, please answer the following questions:
b Is the remodel/tenant finishes for an (pleas �rcle answer)
existing tenant or ew tenant?
Y If for a new tenant, is this the first tenant to occupy this space? Yes or 00")
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? R IF A( I L.
Y Are there any exterior building changes associated with the work? Yes ) or No
If yes, please describe:
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Signature of applicant Date
Name (please print) Local daytime phone #