HomeMy WebLinkAbout4803 Boardwalk Dr - Applications/New Commercial - 07/20/2016FCity of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
ort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER O v J APPLICATION DATE 7-104.6' I
Job Site Address 4803 Boardwalk Drive
PROPERTY OWNER INFO: (All owner information Is required - it is not optional) Phone
Last name Martin -Roman First Name Jesus
_ Unit #
(970) 999-2332
Middle
Street Address 1223 Red Oak Ct. city Fort Collins
CONTRACTOR INFO: Company Name TBD
Lic Holder Name
Mailing Add
Contractor Phone #
state CO Zip 80525
City of Fort Collins License # Supervisor Cert #,
City State Zip
LEGAL INFO:
Miramont Self Storage PUD 2 23,087
Subdivision/PUD 9 Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 4125 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 4125 # of Stories 1 Bldg Height 18'-6° # Dwelling Units
15t Floor Sq Ft 4125
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/ Baths '/2 Baths 3 # of Fireplaces 1
Air Conditioning: YeS Non. Energy info: ( Circle appropriate choice ) 1. ComCheck �✓ 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door F1 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size 1 1/2" Sewer Tap Size 4,. Metered: Yes❑✓ No� Temp. Pedestal Yes❑ No
Type of Heat: Fv] Gas Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less 200 Amp DOther
Value of Construction (including labor, material & profit) $ 1,250,000.00
Description of Work:
This is a new, ground up, 4,125 square foot single story building to house Dr. Angie Lee Periodontics office.
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
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 Fort Collins ordinanc s and state laws regulating building construction.
Applicant Signature Print Name Jesus 'Martin -Roman Phone (970) 999-2332
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
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City of
F®rt Collins
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Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
$ n F1.7",
"
Application Number:. -s,.'
Job Site Address: 4803 Boardwalk Drive
New Building x Addition
Building owner: Jesus Martin -Roman
Remodel/TF
Building owner address: 1223 Red Oak Ct., Fort Collins, co 80525
Building owner phone #: (970) 999-2332
Name of Business: Aspen summit LLc
Proposed Use: (i.e. medical, office, bank, retail, etc) Periodontist Office
Project square footage: 4,125 sf
For commercial remodels Er tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (please circle answer)
existing tenant or new tenant?
➢ If fora 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:
Signature of applicant'
Jesus Martin -Roman
Name (please print)
7/12/16
Date
Yes or No
(970) 999-2332
Local daytime phone #