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Home My WebLink About1 OLD TOWN SQ - APPLICATIONS - 4/30/2013City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER FI �l 15 R APPLICATION DATE 41130 , �r Job Site Address */ Old 'fun �T-� 7 Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #_ 9 70 -�L277- 33 Last name r acrioxvi v n. O. /. ,e;un. re 116First Name ICA %/eaP;r Middle Street Address / L916( 7g j4_';j r r 1 City State Zip CONTRACTOR INFO: Company Name 4�, I p-e G�.� I t O �C Contractor Phone # Lic Holder Name J 1�� A Sm a 1,7(City of Fort Collins License # Supervisor Cert # Mailing Address 31 1`i,c heLo_ ,cla, bt- . City f f. (. I el g f State 6 Zip Y(5'� ,7 LEGAL INFO: Subdivision/PU Filing # Lot # Block # Lot Sq CONSTRUCTION INFO: Total Building Sq Ft (not including basement) NA Total Garage Sq Ft 2.„a.. Residential Sq Ft Comm'I Sq Ft ;2 5 # of Stories Bldg Height # Dwelling Units 1s' Floor Sq Ft Finished Bsmt Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/. Baths '/2 Baths # of Fireplaces Air Conditioning: Yes No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option UTILITIES INFO: Water Tap Size_ Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No Type of Heat: Was ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other cl Value of Construction (including labor, material & profit) $ / 70; 00WE U Description of Work: /t ac n'T' Fi vt; s /t UNY Aca.sc?.»7Z/1 Y j .t cz (SiOi 'Z rwvi 1 Contact Name & Phone # of JOBSITE SUPERVISOR: J a4et Jcs t L 4 %d _ 1 f Z' 5 4 10 S Subcontractor Info: A ,/ Electrical �f S kz A Mechanical U C rvi St Plumbing C. r + ' /-/J -n Framer Solar Roofing Other Concrete Other Fireplace 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 t Collins rdinances and state laws regulating building construction. ` /�j' Applicant Signature Print Name t^� E a, Lf Phone �7e y�'1' ��""`r Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Fort Collins Commercial Application. Number: Planning, Development and Transportation PO Box 580 281 N College Ave Ft Collins, CO 80524 970-221-6760 phone 970-224-6134 fax Construction Application Information Revised 03/30/.20 0 Job Site Address: /6I cWyl tau �- New Building Addition Remodel OT- Building owner: fP 05I`e ccuf-e U Ilk • IIwIA Building owner address: ! a Id -riwn w Building owner phone #: -?O— Name of Business: S'��,�Q.1 C,r�. + Proposed Use: (i.e. medical, office, bank, retail, etc) LA-r Project square footage: gzs6 For commercial remodels ft tenant finishes, please answer the following questions: ➢ Is the remodel/tenant finishes for an-(please-cir le answer) existing tenant or new tenant? ➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No ➢ If not the initial tenant for this unit, what was the previous use of this tenant Space? ➢ Are there any exterior building changes associated with the work? Yes or No If yes, please describe:>< l-a r, r. r u;c�U /r� rncun ✓� of applicant [/- -iQ- /3 Date 17 6 - Lf t I Name (please print) Local daytime phone # �1 f7 rye cv�s I� -:�!67 -042-4 City of Planning, Development & Transportation Services Fort Collins Community Development & Neighborhood Services 281 North College Avenue - Fort Collins, CO 80524 970.416.2740 BuildingPer it A cati�3nr`Sub�mittaln(R)equirementsf r o Commercial Tenant Finish (Revised 24-2012) The items listed below must be included in all new commercial applications for building permit. Please initial each item indicating that it is included in the submittal. Only complete submittals will be reviewed. Adopted codes: 2009 IBC, IMC, IFGC, IPC, IECC, 2011 NEC. Required Item Initial r/ Building Permit Application — Threepartform to be completed by applicant. Building owner Authorization — Signed and notarized by the building owner. Commercial Construction Application form — Form to be completed by applicant. Plan Check Fee — (Fee Schedule available at Building Services front counter) Architectural Drawings — Two copiesof complete architectural plans drawn to scale showing all floor plans, reflected ceiling plans with lighting layout, accessible toilet room layout, and interior elevations. Exterior elevations if modified. Label the intended use of all rooms or areas on the floor plans. Architect/Engineer Stamp is required for: • All new commercial buildings & additions to existing commercial buildings. • All new residential buildings more than four (4) dwelling units and additions to existing residential buildings containing more than four (4) dwelling units. • All commercial tenant finish work involving structural modifications. • All commercial tenant finish work where the scope of work involves more than five thousand (5,000) square feet. • All projects creating a Change of Occupancy. , Structural Drawings - Any structure added or modified: Two copies of structural documents bearing an original seal & signature of an architect/engineer registered in the State of Colorado. Plans shall verify that the design meets the loading criteria per current building code. Electrical, Plumbing, and Mechanical Drawings - Two copies of drawings to any modifications to existing building. Energy Code Ughting Wattage Worksheets — Required for new tenant spaces or lighting alterations more than 50%. Submit lighting wattage worksheet to include wattage allowance and proposed. Lighting wattage package available at the permit counter. Must comply with 2009 IECC. Green Code Energy Assessment — Projects with a construction valuation of $30,000 or greater are required to contact City of Fort Collins Utilities to schedule a free energy assessment. See Poudre Fire Authority at vjww.poudre-fir-e.org/services/permits.php for their submittal requirements. Applicant Name -�o�w 5�.�� Telephone# i}76 Lie �7-022'