HomeMy WebLinkAbout2121 Midpoint Dr - Applications/Tenant Finish - 09/19/2018City of
II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wwwfegovcom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ia, I ch J`t 1 O — (b APPLICATION DATE I ` I ,b
Job Site Address 2121 Midpoint Dr.
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone
Last name Nexgen Riverbend Holdings, LLC First Name N.A.
Street Address 5251 DTC Parkway Suite 800
CONTRACTOR INFO: Company Name TBD
Lic Holder Name
Mailing
LEGAL INFO:
Unit#Suite 101
303.923.2474
Middle
city Greenwood state CO Zip 80111
Contractor Phone #
City of Fort Collins License #
City
Supervisor Cert #.
State Zip
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) '21 -,00a
inj-6i_Sv�
Total Garage Sq Ft 0
Residential Sq Ft 0 Comm'I Sq Ft 72.1 Q& # of Stories 3 Bldg Height # Dwelling Units
19 Floor Sq Ft 7000 2.d Floor Sq Ft 7000
3n° Floor Sq Ft 7000 Unftished Bsmt Sq Ft 0
Finished Bsmt Sq Ft 0 # of Bedrooms 0 # of Full Baths 0 % Baths 0 Y= Baths 3 # of Fireplaces 0
Air Conditioning: Ye (Non Energy info:( Circle appropriate choice) 1. ComCheck Z 2. ResCheck w/Air Sealing11
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 11 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: YesENoEl Temp. Pedestal Yes❑ No
Type of Heat: Gas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 35,000.00
Description of Work:
Construction of interior partitions, adding and relocating lighting, adding and relocating return and supply diffusers,
adding electrical receptacles, and adding a plumbing stub -up for a future kitchenette.
Contact Name & Phone # of JOBSITE SUPERVISOR: TBD
Subcontractor Info:
Electrical TBD
Framer Roofing
Solar Other
Mechanical TBD
Concrete
Other
Plumbing TBD
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 FortCollinsordinances and state laws regulating building construction.
Applicant Signature L� Print Name Steve Vetter Phone 314.997.6111
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City/ Of c� Planning, Development and Transportation
Fort C®Wns 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: �) � 'Doo(boq Z)
Job Site Address: 2121 Midpoint Dr., Suite 101 Fort Collins, CO 80525-4339
New Building
Addition
Building owner: Nexgen Riverbend Holdings LLC
Remodel/TF _ X
Building owner address: 5251 DTC Parkway, Suite 800 Greenwood, CO 80111
Building owner phone #:
Name of Business:
303.923.2474
Edward Jones Financial Advisor
Proposed Use: (i.e. medical, office, bank, retail, etc) Business Office
Project square footage: 1000 sf
For commercial remodels !t tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an holease circle answer)
existing tenant or Inew tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or El
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? Business Office
➢ Are there any exterior building changes associated with the work? Yes ol-No
If yes, please describe:
7 H11
Signature of applicant Date
Steve Vetter 314.997.6111
Name (please print) Local daytime phone #
Planning, Development & Transportation Services
FCityof Community Development & Neighborhood Services
L 81 North College 6.2740
` Collinsn venue
Fort Collins,�0 80524
970.416.2740
Commercial Tenant Finish and Remodel Checklist for Submittal Requirements
Adopted Codes: 2012 IBC, IMC, IFGC, IECC, 2015 IPC, 2014 NEC, ICC-A117.12009 (Revised 1/27/17)
Initial
Requiredat time of permit submittal
77-
Building Permit Application
Commercial Construction Application
Plan Check Fee
SV
Stamped Structural, Mechanical, Electrical,
Plumbing and Architectural Drawings are required
for any of the following:
Structural Modifications
Scope of work greater than 5,000 square feet
First Tenant to occupy a space
Change of Occupancy (see additional handout)
New 3 phase service or service change of 225
amps or greater -Stamp for Electrical Scope Only.
(�, I
J �J
Existing
and Proposed Scaled Drawings (2 copies)
Floor Plans with room labels and areas
Reflected Ceiling plan with lighting
Interior Elevations including restrooms
Structural Drawings (by a licensed State of
Colorado Structural Engineer) -must meet local
design criteria and adopted building code.
Exterior Elevations (see Zoning requirements)
Wall types, sections and details.
n�
UII
Mechanical Drawings (2 copies)
Drawings to show supply, Return, Exhaust,
Hoods, and other special equipment.
�f I
1�
Electrical Drawings (2 copies)
Outlets, panel location, special equipment.
Plumbing Drawings
Waste and Vent Isometric, Supply, Special
Equipment.
SV
J
Lighting Wattage Worksheet or ComCheck
Required for Lighting alterations more than 50%.
Initial
Required prior to permit issuance
(permits cannot be picked up without the following)
Asbestos Awareness Form
Owner Authorization
Construction Waste Management Plan Form
(Required for a scope of work over 2,500 sf.)
Initial
Other Departments requirements
Larimer County Health Department
970-498-6785
www.larimer.org/health/ehs/food.asp
Required for food or drink service, preperation, or
processing, daycares, schools and healthcare.
Energy
Assessment
970-416-2032
Free assessment by Fort Collins Utilities. Required
for alteration valuations of $50,000 or more, that
have not had an assessment in the past 3 years
Poudre Fire Authority
970-416-2891
www.Poudre-fire.org/services/permits.php
Separate Submittal / Fire suppression modifications
may be required.
Zoning
970-416-2745
zonins@fceov.com
Change of Use or Exterior modifications (i.e.:
fagade, parking, landscaping, or other changes
visible to the public), may require a minor
amendment. Contact Zoning for more information.
Please be aware that only complete submittals can be reviewed. Incomplete or deferred submittals
will not be accepted.
Applicant Name: S�VG vel#er
Job Site Address: w
Phone:
3/y, 99 . &///
Email (Required):
5,ve#err �r,-Ii� cowl