HomeMy WebLinkAbout250 Jefferson St - Applications/New Commercial - 02/02/2017COMMUNITY DEVELOPMENT & NEIGHBORHOOD. SERVICES
Fort Collins
APPLICATION N
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
Job Site Address 210 Jefferson Street
PERMIT APPLICATION
APPLICATION DATE 2 / 2Z /
Unit #
PROPERTY OWNER INFO• (All owner Information is required — it is not optional) Phone # 970-213-2500
Last name FUICher First Name Ty Middle
Street Address 1 Old Town Square, Suite 7 City Fort Collins State CO Zip 80521
CONTRACTOR INFO: Company Name Beacon Construction Contractor Phone # 970-212-2432
Lic Holder Name Tyler Texeira
City of Fort Collins License # B-450 Supervisor Cert # 3546-B
Mailing Address PO Box 270218 City Fort Collins State CO Zip 80527
LEGAL INFO:
Subdivision/PUDOriginal FC Plat for Old Town Filing # Lot #2,4,6,a,1o,12 Block # Portion of 7Lot Sq Ft 26,185 sf
CONSTRUCTION INFO• Total Building Sq Ft (not including basement) 5,700 sf Total Garage Sq Ft 0
Residential Sq Ft 0 Comm'I Sq Ft 5,700 # of Stories 1 Bldg Height 25' # Dwelling Units N/A
1" Floor Sq Ft 5700
Finished Bsmt Sq Ft N/A
2nd Floor Sq Ft N/A 31 Floor Sq Ft N/A Uhfiished Bsmt Sq Ft N/A
# of Bedrooms N/A # of Full Baths 2 '/, Baths % Baths # of Fireplaces
Air Conditioning: Yer✓ No � Energy info:( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing �✓ 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
Water Tap Size 2" Sewer Tap Size 4- sanitary sewer Metered: Yes �No� Temp. Pedestal Yes ✓❑ No El
Type of Heat: D Gas Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp ❑✓ Other
Value of Construction (including labor, material & profit)
Description of
The project i
1,500,000 400 amp
Contact Name & Phone # of JOBSITE SUPERVISOR:.Devon Smith with Beacon Construction
Subcontractor Info:
Electrical TBD
Framer TBD
Solar N/A
Mechanical TBD
Roofing TBD
Other
Concrete TBD
Other
Plumbing TBD
Fireplace N/A
Other
Applicant: f 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 ordinances and state laws regulating building construction.
Applicant Signature f�" " Print Name Devon Smith Phone 970-290-6361
Distribution: White —Office Yellow —Applicant Pink - WVWV/Stormwater
THIS APPLMATIAN F_XPIRFS tan nOVR FRAM APPLICATIAN DATE
City of
���ort Collins
'�—
Commercial
Application Number:
Job Site Address:
Planning, Development and Transportation
PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Construction Application Information
Revised 03/30/2009
Aoq
11 7 0' U 4. V
New Building x Addition
Building owner: JPUC Holdings LLC
Building owner address:
Building owner phone #:
a 10 SeWm—son Stteest
1 Old Town Square, Suite 7,
Fort Collins, CO 80521
970-213-2500
Remodel/TF
Name of Business: Q
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:
5700 sf
Restaurant
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an lease circle answer)
existing tenant or I 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?_N/A
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe: _Yes. Brand new building on an empty site
S' ature of applicant
y Fu Wker
Name (please print)
1 /24/17
Date
970-213-2500
Local daytime phone #