HomeMy WebLinkAbout2120 Milestone Dr - Applications/Addition or Alteration - 03/27/2017rj
City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. - Fort Collins, CO 80522-0580 - Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER t 7 �� I 33 APPLICATION DATE 2 17
Job Site Address 2120 MeslonL Dv-. Unit # 4. loy
PROPERTY OWNER INFO: (All owner information is required - it Is not optional) Phone # 4-b- 27-S -2S33
Last name e).-."Ic First Name 9 0-n Middle
Street Address L-1►1e S CoUge. Ave. Ste • G City For} Collens State_C,�_Zip $05Z5
CONTRACTOR INFO: Company Name filet, 4ck. CpmrnCcc i j gu: (1Contractor Phone # OF10-LVA4 -(w O
Lic Holder Name S<O'1'+ City of Fort Collins License #CI -214 Supervisor Cert # 31011 - C-1
Mailing Address Not E. Sal<-n Or. Z City For+ Gj(li ng State U% Zip ?052.S
LEGAL INFO:
Subd
CONSTRUCTION INFO: Total Building Sq Ft (not including
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 11 00 # of Stories Bldg Height # Dwelling Units
1s' Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2ntl Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths '/2 Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative S. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option
Water Tap Size N fA Sewer Tap Size FJjA Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 36 C00
Description of Work:
Q. S
Contact Name & Phone # of JOBSITE SUPERVISOR: Ga l0allrn beck 9?O - 289 ^ 3708'
Subcontractor Info:
Electrical Fiske- EletAric- Mechanical 123" Rool" AeahmI54Ace- Plumbing
Framerl,,,ockmtan 4 Lockww.n Roofing N/n Concrete NIA Fireplace NSA
Solar N/111 Other
Other
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 F rt Collins ordina es and state laws regulating building construction.
Applicant Signature Print Name &c4f Phone 97o-4l`Y9-RP10
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of 015 3 3
F„�rt Collins
Planning, Development and Transportation
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:
Job Site Address:. 2120 Milestone Dr. / Q
New Building
Building owner: Brian Burck
Addition
Remodel/TF x
Building owner address: 2716 S. College Ave. Suite C. Fort Collins. CO
Building owner phone #: 970-223-2833
Name of Business:
Edward Jones
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:
Office
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an lease circle answer)
existing tenant or I new tenanys
➢ If for a new tenant, is this the first tenant to occupy this space? Yes o No
➢ If not the initial tenant for this unit, what was the previous use of this tenant
Space? office
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
Signature of applicant
Scott Neuenschwander
Name (please print)
3/13/17
Date
970-449-1610.
Local daytime phone #