HomeMy WebLinkAbout1100 Newsom St - Applications/Addition or Alteration - 02/27/2019i4'9
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281 N. College Ave. •Fort Collins, CO 80524 • Phone: 970.416.2740 • wv✓w.fcQov.com/building
BUILDING PERMIT APPLICATION
� /�, FOR OFFICE USE
4PPLICATION NUMBER: I c )t —( C) I a, t �— APPLICATION DATE: �7/�7
!ob Site Address 1100 Newsom St
Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Keen First Name Stephen & Kimberly Middle
Street Address 1100 Newsom City Fort Collins State Co Zip 80524
Phone # (412) 608-4226 Email kmkeenl@Gr
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name Patriarch, LLC
License Holder Name Mark Strauss
LEGAL INFO:
Subdivision/PUD University Acres Filing # 7th Lot #
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement)
Residential Sq Ft Commercial Sq Ft # of Stories_
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Finished Basement Sq Ft # of Bedrooms
% Baths % Baths # Fireplaces _
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (ResCheck) ❑
ail.com
LIC # D-625 CERT # 509-D1
202 Block # Lot Sq Ft
Total Garage Sq. Ft.
Bldg Ht # of Dwelling Units
Unfinished Basement Sq Ft
# of Full Baths
SPA(Simulated Performance ❑ prescriptive❑ ERI(Energy Rating Index) ❑
Alternative)
Air Conditioning? YES ❑ NO ❑
City of Fort Collins Approved Stock Plan # SPO 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.)
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 ❑ No i
If yes, please describe:
No Text