HomeMy WebLinkAbout1939 Jessup Dr - Applications/Tenant Finish - 10/18/2019 (2)Cityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fit Collins
281 N. College Ave. •Fort Collins, CO 80524 •Phone: 970.416.2740 • www.fceov.wrn/buildine
BUILDING PERMIT APPLICATION
q /( FOR OFFICE USE to I� I
APPLICATION NUMBER: � �� J APPLICATION DATE:
Job Site Address 1939 Jessup Drive
PROPERTY OWNER INFO: (Ali owner information is required — NOT optional)
Last Name
First Name
Middle
Unit# Suite 130
Street Address 7307 Streamside Drive City Fort Collins State CO zip 80525
Phone # 970.229.5900
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name
License Holder Name Gino Campam
LEGAL INFO:
Subdivision/PUD Bucking Horse
_Email jryssman@bellisimoinc.com
Jessup Farm LLC
Bellisimo Inc.
LIC # B-345 CERT # 735
Filing # 1 Lot # 7 Block # 4 Lot Sq Ft NA
CONSTRUCTION INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft 1,006 # of Stories 1 Bldg Ht # of Dwelling Units
1st Floor Sq Ft 1,006 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft
Finished Basement Sq Ft
% Baths % Baths 1
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (ResCheck) ❑
# of Bedrooms
# Fireplaces
(Simulated Performance
SPAAlternative) ❑
Air Conditioning? YES JX NO ❑
City of Fort Collins Approved Stock Plan # SPO
# of Full Baths
Prescriptive[] ERI(Energy Rating Index) ❑
List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ 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.) Restaurant
For Commercial remodels and tenant finishes Please answer theFor Commercial remodels and tenant finishes, answer the following
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant® New Tenant❑ ;Ik currw* *
If for a new tenant, is this the first tenant to occupy this space? D "�o`CLv'* W"A'
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No
If yes, please describe:
Value of Construction (materials and labor) $ U , Pj 00 . O 0
Descriation of Work, .0 AwAiiNA \nn.Qo _ 11., r) , 1 ,4.N—�
JOBSITE SUPERVISOR CONTACT INFO: Name Phone q-:to .22G1 , rjq p Zj
SUBCONTRACTOR INFO
Electrical �Nqj� faPc�tr:c
Plumbing Caf(aA,o Framing
Fireplace Solar
Mechanical
Roofing
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-252, property owners, applying for a
remodel permit, shall indicate their awareness about their property having been inspectedfor Asbestos Containing Materials (ACM's).
M 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: 1 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 City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature
Phone #
Type or Print Name Jena Smith
970.229.590 Email jryssman@bellisimoinc.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Planning, Development & Transportation Services
City of p Community Development Neighborhood Services
F ` Coftlns 81 North Colle�e Avenue
��� Fort Collins, O 80524
970.41 80521
Building Permit Submittal Checklist: Commercial Remodel/Tenant Finish
Incomplete or deferred submittals will not be accepted
✓ Drawings depicting the scope of work
✓ Plans must reflect current adopted codes and standards:
✓ I Plan Check Fee (Payment by Check only) I
./ Building Permit Application
NA Construction Waste Management Plan Form
(Required for a scope of work over 2,500 sf.)
Owner Authorization Form
Additional Requirements
separate(may require a
tarimer County Health Department
1525 Blue Spruce / (970)-498-6785
httj)s://www.larimer.org/health
Required for food or drink service, preparation, or processing;
daycares; schools; and healthcare.
Energy Assessment: 970-221-6818
a ssess me nts efceov.co m
NA
Free assessment by Fort Collins Utilities. Required for alterations of
$50,000 +, or has not had an assessment within the past 3 years.
Poudre Fire Authority: 102 Remington / (970)-416-2891
httos://www.00udre-fire.ore/on line -services
A separate submittal Is required through the Poudre Fire Authority
website for most tenant finish projects. Fire suppression system
modification will also require a separate additional submittal.
Zoning: 281 N College / (970) 416-2745
zonChan fc ay.com
Change of Us`e r Exterior modrfications (i.e.: facade, parking,
a g, or other changes visible to the public), may require a
minor amendment.
Are you building in a Floodplain7
NA
httos://www.fcgov.com/utilities/what-we-
do/stormwater/floodine/floodolain-ma os-documents
Historic Preservation Review
No'*
www.fcgov.com/historicpreservation
Alterations to, or Demolitions of buildings more than 50 years old
will be reviewed for Historic Eligibility
Applicant Name: JoSite Address:
J U b S v>M I q 3°1 J essl,y, pYv e &-e . 13 o
Phone: Email (Required):
q-+O . ZZq . 5000
A 'n I,±�;NS`arnm @be'Ali5iw+oinC. Cove
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