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Home My WebLink About2121 Midpoint Dr - Applications/Tenant Finish - 10/04/2019COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building BUILDING PERMIT APPLICATION FOR OFFICE USE APPLICATION NUMBER:—) �S ( APPLICATION DATE: Job Site Address y. Unit# d owner i ormation Is required — NOT optional) Last Name ilyle'/WfA First Name _,( 722j'A Street Address C.2 — ` rbr l.rhy City � Phone # 3r)3 —7j]- Ma30 Email G Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Com n am License Holder Name j LEGALINFO: Subdivision/PUD Filing # Lot # CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) _ Residential Sq Ft Commercial Sq Ft 1,j3 # of Stories 1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Finished Basement Sq Ft # of Bedrooms Baths % Baths # Fireplaces _ ENGERGY INFORMATION: (CHECK ONE) ComCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑ Alternative) Air Conditioning? YES ❑ NO ❑ 40704 Block # Lot Sq Ft Total Garage Sq. Ft. — _Bldg Ht # of Dwelling Units Unfinished Basement Sq Ft # of Full Baths Prescriptive❑ ERI(Energy Rating Index) '❑ City of Fort Collins Approved Stock Plan # SPO List Option #s UTILITIES INFO: Gas Electric Its' Electric Temp. Pedestal Yes ❑ No ❑ Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑ ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) For Commercial remodels and tenant finishes, please answer the following questions: Is the remodel/tenant finishes for an existing orr new tenant? (Please check one) Existing Tenant❑ New Tenantll� If for a new tenant, is this a first tenant to occupy this space? Yes ❑ No If not for the initial tenant for this unit, what was the previous use of this tenant space? A V Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No If yes, please describe: JOBSITE SUPERVISOR CONTACT INFO: Name Mechanical Phone OMWWWW=J917 NMI, Roofing Fireplace s Solar Other f—I^p (ZYA64Pe h� ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying f r*G'M remodel g mit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's). I do not know if an asbestos inspection has been conducted on this property ❑ An asbestos inspection has been conducted on this property on or about (enter date) ❑ 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 tc comply with all requirements contained herein and Qty of Fort Collins ordinances and state laws regulating building construction. Applicant Signature. /V'L� L Type or Print Name Phone # g7-76 Email �thry THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Planning, Developmenf & Tiansportation Services ' � Community Development& fVei hborhood Services FO�� 0��'�� 81 North College Avenue Fort Collins,CO 80524 970.4162740 � � � � � � � � �J Building Permit Submittal Checklist: Commercial Remodel/Tenant Finish Incomplete or deferred submittals will not be accepted ' - � - • � • - • . . - . • . Drewings depicting the scope of work Building Permit Application �s must reflect current adopted codes and standards: nstruction Waste Management Plan Form .fc ov.com buildin codes. h (R red for a scope of work over 2,500 sf.) Plan Check Fee(Payment by Check only) Owner Authorization Form ' - • - � � � s • � - � � . • . . . . . . . - - . • . . . Afullv Stamued Set is required for any of the following(4)conditions: Larimer County Health Department � 1.Scope of work greater than 5,000 square feet 1525 Blue Spruce/(970)-498-6785 � 2.First Tenant to occupy a space �� https://www.larimer.or�/health ✓ 3.Change of Occupancy(see additional handout) Required for food or drink service,preparation,or processing; daycares;schools;and healthcare. � 4.New 3 phase service or service change greater than 225 Energy Assessment:970-221-6818 amps -OnlvforElectrical5cope. Existing and Proposed Scaled Drewings assessments@fc�ov.com ��`_ G� Floor Plans with room labels and areas Free assessment by Fort Collins Utilities.Required for alterations of ccessibility details as required $50,000+,or has not had an assessment within the past 3 years. Interior Elevations including restrooms Poudre Fire Authority: 102 Remington /(970)-416-2891 � Structural Drewin s(stamped by a State of Coloredo licensed ttps://www.poudre-fire.ors/online-services Structural Engineer or qualified Architect) p separate submittal is required through the Poudre Fire Authority Exterior Elevations(see Zoning requirements) website for most tenant finish projects.Fire suppression system Wall types,sections and details. modification will also require a separate additional suhmittal. Mechanical D wings Zoning:281 N College/(970)416-2745 Drawings to show supply,Return,Exhaust,Hoods,and other zonins@fc�ov.com � special equipment. Change of Use or Exterior modifications(i.e.:fa5ade,parking, landscaping,or other changes visible to the public),may require a Electrical Drewing minor amendment. �C Outlets,lighting plan,panel,one-line,equipment. Are you building in a Floodplain? Plumbing Dr ings https://www.fc�ov.com/utilities/what-we- � do/stormwater/floodin�/floodplain-maps-documents Waste and Vent Isometric,Supply, Equipment. Historic Preservation Review ComCheck or Lighting Wattage Worksheet www.fc�ov.com/historicpreservation Required for Lighting alterations more than 50%. � Alterations to,or Demolitions of buildings more than 50 years old � will be reviewed for Historic Eligibility Applicant Na Job Site Address: �. � ��.� l�/1I'�I Phone: p Email(Required l �� .q"f'� �� D D ' '7)') �..�Fort Collins TENANT FINISH PL.AN REVIEW CHECK LIST _ .,.�� ADDRESS: ( r^� o,� �0 I �� P E RM IT: REVISED 3-14-2014 CONSTRUCTION DOCUMENTS: BUILDING PERMITAPPLICATION COMMENTS: PLAN REVIEW FEE /,� �,� A.o�c{f�e-SS / CONTRACTOR LIC CHECK U CODE DATA: � �¢Q,d• �� S A� � OCCUPANCY CLASS �a�� Gl--e,c.� � ��, CONSTRUCTION TYPE � �/ e5 AUTOMATIC SPRINKLER SYSTEM CHAPTER 4 / / PROVISIONS FOR: MALLS, HIGH RISE, / ATRIUM, STAGES, THEATERS, MED-GAS HAZ MAT, PARKING GARAGES, I-2, I-3 CHAPTER 5 8� 6 OCCUPANCY SEPARATION � CORRECT MATERIALS USED PER TYPE OF CONSTRUCTION CHAPTER 7 FIRE RATED ASSEMBLY REVIEW, PENETRATIONS, DAMPERS CHA TER 8 TOILET ROOM FLOORS &WALLS NONABSORBENT TO 4FT HIGH CH PTER 9 / / FIRE CONTAINMENT TABLE 903.1 / SPRINKLER REQUIRED PER 903 CHAPTER 10 #OF EXITS REQUIRED, EXIT WIDTH,z-EX-f-T—S�RARATION,-AE3BI-T-IONAL-E-XI�S � - EXIT SIGNAGE, EGRESS ILLUMINATION, DOOR HARDWARE, LOCK �/ DOOR SW �, STAIRS, HANDRAIL, GUARDRAIL, HALL�TRAVEL DI�CE, DEAD CHAPTER 1� �/ ACCESSIBILITY&ANSI REQUIREMENTS CHAPTER 2�4 / SAFETY GLAZING CHAPTER 12 & HVAC / MECH LAYOUT �• VENTILATION, IMC CHAP4, TOILET EXHAUST FAN .l TYPE I HOOD, 1-HOUR ENCLOSURE, EXHAUST TERMINATION LOCATION CHAPTER 29 & IPC �--� FIXTURE COUNT (SEPARATE MENS/WOMENS IF COUNT 30+) �� PLUMBING LAYOUT, RISER DIAGRAM, FLOOR DRAINS, GREASE/SAND/OIL TRAP .� MED-GA5 PIPED SYSTEM, 1-HOUR CONTAINMENT � RESTAURANT TOUCH-FREE TOILET FACILITlES ELECTRICAL, NEC � GFPS, PANEL CLEARANCE (DOORS) �� ENGINEER STAMP ON ONE-LINE FOR 3-PHASE OR SERVICE 225 AMP+ � EXAM ROOM REDUDANT GROUND,-NEC 517 ENERGY,CODE: �Y - VESTIBULE AT 3000 SQ.FT.+ � ' LIGHT REDUCTION AND DAYLIGHT ZONE CONTROLS LIGHTING PLAN, INTERIOR& EXTERIOR LIGHTING WATTAGE WORKSHEET�� GREEfTCODE ��(,��;IjJ � ERGY ASSESSMENT FOR EXISTING BLDG / � VALUATION CHECK REVIEWER&APPROVAL DATE �--�,. � ��rt �`�L��1�s ��«� ��-�� w��r��r ' ��;� �'%�`4� ��d� �e}�� ,,j7'R �IF'�r�i.il 'm��L:�'Ti"'�'+1 t •i7.��.F.�" .�r 6.0 i RI�� r�? 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