HomeMy WebLinkAbout2261 E Drake Rd - Applications/Tenant Finish - 04/07/2017City, of
COMMUNITY DEVELOPMENT S NEIGHBORHOOD SERVICES
Forrt Collm 281 N. College Ave. a Fort Collins, CO 80524 a Phone: 970-416-2740
/ � wwm fegov:eom/bullding
BUILDING PERMIT APPLICATION
APPLICATION NUMBER R I r46 `I)bK�:5 APPLICATION DATE
Job Site Address2261 East Drake Rd. Unit # 135
PROPERTY OWNER INFO: (All owner information is required - It Is not optional) Phone # 720-437-0169
Last name Michaelsen First Name Chad (Charles Middle D
Street Address 1850 29th St. Unit 1008 cdy_BOulder state CO ZIP80301
CONTRACTOR INFO Company Name TBD Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cart #
Mailing Address City State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (nal Including basement) 10638 SF Total Garage Sq Ft N/A
Residential Sq Ft N/A Comml Sq Ft 1180 SF # of Stones 1 Bldg Height 23' # Dwelling Units
1" Floor Sq Ft
2nd Floor Sq Ft
31' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft N/A # of Bedrooms N/A # of Full Baths 0 % Baths 0 % Baths 1 # of Fireplaces 0
Ali Conditioning Ye : Vo Energy UHb ( Orde appropriate choice) 1 ComCheck Z 2 ResCheck w/Air Seating
S ResCheck w/Blower Door El
4 Simulated Performance Alternative❑ 6 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option #s
UTILJTIES INFO:
Water Tap Size 1 5" Sewer Tap Size Metered Yes [Z]Nol:l Temp Pedestal Yes❑ No ❑
Type of Heat z Gas FiElectnc Electnc Main Breaker Size (Residential only) Ell50 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ $50,000
Description of Work
Tenant Improver
space
Contact Name & Phone # of JOSSITE SUPERVISOR TBD
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 Colli ordinan rid state laws regulating building construction
Applicant Signatur�. t Name Matthew Preston Phone 712-212-1627
Matribubon White -Office Yellow - Applicant Pink -VWM/Stommrater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Planning, Development and Transportation
F„6rt Collins Po Box 580
281 N College Ave
Ft Collins, CO 80524
970.221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revlsed 03/30/2009
B1701
Application Number: �05
Job Site Address: R
New Building
Addition
'^ 80C2 S
Remodel/TF X
I
Building owner: c4 d
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I ve 360
4 z
Building owner address:
/0126-6 C2 9 a,5-6.
Vol ,' f 100r
& Ide r, 00 90301
Building owner phone #: 70,0 — y6 7-01 9
Proposed Use: (i.e. medical, ofieffice, bank, retail, etc) l /ar
Project square footage: Myo 51z::-
For commercial remodels & tenant finishes, please answer the following questions:
D Is the remodel/tenant finishes for an (please circle 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? Yes or No
If yes, please describe:
/ % 6��4
Signature of applicant
1,44 f A Pcy f t&S 7'yr�1-
Name (please print)
Date
71212
Local daytime phone #
,C) l'L
Colorado Nutrition Mail - Receipt from Poudre Fire Authority https //marl google com/mail/u/0/7u1=2&ik=4229c59a76&view--pt&sea
GmaiiWeC - Matt Preston <malt oloradonutrdron com>
Receipt from Poudre Fire Authority
1 message
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Poudre Fire Authority
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Custom Amount $325 95
Total
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Poudre Fire Authority
102 Remingtom
FORT COLLINS, CO 80524
970A 16-2891
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