HomeMy WebLinkAbout4342 S COLLEGE AVE - APPLICATIONS - 6/28/2013 (2)Fort'Co[tins
APPLICATION
Job Site
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416-2740 j
wwwfogor mnit1building t j k
BUILDING PERMIT APPLICATION
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APPLICATION DATE__! _07(�',3
Unit
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PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone #.
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Last name GS 51- 9 �AV 1110d Fir =ie'7tb �(d&w 1 • MkkHe--
/V' � Street Address a q I Waukee S/ City Den We- State_C0 p Zip &-)
Sp j (r ,!OD Contractor Phone # 770 ,2 ! 9, / b l
CONTRACTOR INEQ: Company Name ��g;, j -
nowr �9 kts CkS terv. S S'^City of Fort Collins License # 5� Supervisor Cart #_193
Lic Holder Name �Ar7ra . .1�n„�, f�
Mailing Address �� L < I ` a m n �Dr City_h& jP n S StateO Zip
LEGAL INFO:
Subdivision/PUD PPA/) 4QA Al Si to np/ u o- Ar Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 2600 5F Total Garage Sq Ft
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Residential Sq Ft Comm'l Sq Ft7.Oa # of Storles�_ Bldg Height q ' I& # Dwelling Units _
1" Floor Sq Ft � 2n° Floor Sq Ft 30 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 Baths a # of Fireplaces
Air Condidoning: YeSoNo Energy Info: ( Circle appropriate choice ) 1. ComCheck11 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door El
4. Simulated Performance Alternative❑ S. Prescriptive w/Air SealingEl 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes[]Nol:l Temp. Pedestal Yes❑ No ❑
Type of Heat: Gas ❑Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less 4 200 Amp ❑Other
Value of Construction (including labor, material & profit) $
Description of
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Contact Name & Phone # of JOBSITE SUPERVISOR: eyo., I r orywS 9201 19r 79 q
Subcontractor Info:
Electrical .63y L-f-cT fy C,
Framer '1 P Roofing _
Solar
Other
Mechanical Pbar cogaN5 NSA Plumbing 1401 l Y
Concrete
Other
Fireplace
Other
Applicant: I hereby acknowledge that 1 have read this application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins o 'nanc and state laws regulating building const lion. [�
Applicant Signature Print Name
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Distribution: White — Office Yellow — Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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c�Y' of Planning, Development and Transportation
Collins 281 N ll College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
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Application Num er:
Job Site Address: 'YrnJiVk
New Building
Building owner: b S 9Z-Z
Addition
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Remodel/TF X—
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Building owner address: aql 14,4fr. kc S4na--1 5,4e sbo Bozos
Building owner phone #: 3J3. 39j.
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Name of Business: �i 0 s t9V0V1q 50LOAl
Proposed Use: (i.e. medical, office, bank, retail, etc) 1/zs r Sa lun d. AvedG rtlr�d
Project square footage:
For commercial remodels ft tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an lease cle 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? n„!A Crza,a w ,41 Loss Ce,4--r-
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
Sign hture of ai� Date
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Name (please print) �— Local daytime phone #
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City}of Planning, Development & Transportation Services
Fo" ` ollins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524
970.416.2740
Building Permit Application Submittal Requirements for
Commercial Tenant Finish (Revised 12-3-2010)
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, 2008 NEC.
Required Item
Indial
Building Permit Application — ThneeWrtform 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 — rwo copies of 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:
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• 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
exl ng building.
Energy Code Lighting Wattage Worksheets — Required for new tenant spaces or lighting alterations
%
more than 50%. Submit lighting wattage worksheet to include wattage allowance and proposed. Lighting
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watta a package available at the permit counter. Must comply with 2009 IECC.
See Poudre Fire Authority at
for their submittal requirements.
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