HomeMy WebLinkAbout3605 S College Ave - Applications/Accessory or Secondary Building - 08/23/2019 (2)City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
� Fort Collins
281 N. College Ave. •Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fceov.com/buildine
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BUILDING PERMIT APPLICATION
PLICATION NUMBER:
APPLICATION DATE:
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Job Site Address 3605 S. College ve.
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Williams
First Name
Middle
Unit#
Street Address 5200 Buffington Road City Atlanta State GA Zip 30349
Phone # 404-765-8000 Email todd.williams@cfacorp.com
Name of Business (COMMERCIAL USE ONLY) Chick-fil-A, Inc.
CONTRACTOR INFO: Company Name TBD
License Holder Name LIC # CERT #
LEGAL INFO: Pan of Loll
Cre er Plaza Replat of Lots 1.2. 3.4
Subdivision/PUD 9 Filing # Lot # Block # 1 Lot Sq Ft 5909
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) 4431 Total Garage Sq. Ft. 0
Residential Sq Ft 0 Commercial Sq Ft 4431 # of Stories 1 Bldg Ht , # of Dwelling Units 0
1st Floor Sq Ft 4431 2nd Floor Sq Ft 0 3rd Floor Sq Ft 0 Unfinished Basement Sq Ft 0
Finished Basement Sq Ft 0 # of Bedrooms 0 # of Full Baths 0
Y44 Baths 0 Y2 Baths 2-Womens & Mens # Fireplaces 0
ENERGY INFORMATION: (CHECK ONE)
ComCheck StUA (ResCheck) ElSPAAlternativ(simulatv e) Performance ❑ prescriptive❑ ERI(Energy Rating Index) El
Air Conditioning? YES t NO ❑
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas 1Y( Electric
5( 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.) Quick service restaurant with drive-thru.
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 Tenant New Tenant❑
If for a new tenant, is this the 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?
Are there any exterior building changes (including mechanical) associated with the work? Yes IF( No ❑
If yes, please describe: There will be a small addition (88 sq. ft.) to extend the drive-thru area at this location.
Value of.Construrt'on materials and labor: $ 60,000
Description of Work: construction of two standalone canopies.
JOBSITE SUPERVISOR CONTACT INFO: Name
SUBCONTRACTOR INFO: Electrical TBD
Plumbing TBD
Fireplace
Framing TBD
Solar
Phone
Mechanical TBD
Roofing _
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill13.152, property owners, applying for a
remodel permit shall indicate their awareness about their property having been inspected forAsbestos Containing Materials (ACM's).
I
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 to
comply with all require on a' ed herein and 'ty of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Type or Print Name Christopher Strong
Phone # 972-386 8 Email cstrong@mayseassociates.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE