HomeMy WebLinkAbout123 N College Ave - Applications/Tenant Finish - 07/03/2019FCity of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
lirt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
1 FOR OFFICE USE 1 V 1 19
4PPLICATION NUMBER: �� � APPLICATION DATE: -7 1
Job Site Address 123 N College Ave
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Unit# 250
Last Name Ells First Name Jason Middle
Street Address 772 Whalers Way City Fort Collins State
Phone # (970) 770-3900 Email jason.ells@cushwake.com
Name of Business (COMMERCIAL USE ONLY) OG Partners LLC
CONTRACTOR INFO: Company Name Thunderpup Construction, Inc.
License Holder Name Steve Wimp LIC #
LEGAL INFO:
CO Zip 80525
CL-188 CERT # 2650-C
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft _
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) 972 Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft_
Finished Basement Sq Ft # of Bedrooms # of Full Baths
3/ Baths % Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (Rescheck) ❑ SPA (Simulated Performance ❑ Prescriptive❑
Alternative)
Air Conditioning? YES ❑ NO ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
ERI(Energy Rating Index) ❑
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes 13 No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less 200 Amp 0 Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.) Offices
For Commercial remodels and tenant finishes, please answer the following Questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing TenantO New TenanfE.
If for a new tenant, is this the first tenant to occupy this space?
Yes b No M If not for the initial tenant for this unit, what was the previous use of this tenant space?
Offices
Are there any exterior building changes (including mechanical) associated with the work? Yes ® No m
If yes, please describe:
Value of Construction (materials and labor): $ 99,000
Description of Work:
Wall & Ceiling patch; Minor structural modifications per engineer letter. (Wall was assumed
to be non-structural prior to demolition and was found to be otherwise during the course of
demo; modifications to correct.) Minor finish updates.
JOBSITE SUPERVISOR CONTACT INFO: Name Garrett Ewing
SUBCONTRACTOR INFO: Electrical
Mechanical
Phone 970-SS6-6027
Plumbing Framing Roofing
Fireplace Solar Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (RCM's).
❑ I do not know if an asbestos inspection has been conducted on this property.
8 An asbestos inspection has been conducted on this property on or about (enter date) 05/13/2019
❑ An asbestos inspection has not been conducted on this property.
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 ordinances and state laws regulating building construction.
Applicant Signature p o "' Type or Print Name MITALI VAIDYANATH
Phone # (970) 224-9200 v Email mitali@thunderpup.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE