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Home My WebLink About424 PINE ST - APPLICATIONS - 11/27/2013City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Forrt Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 / www.fcgov.com/building /� 7 BUILDING PERMIT APPLICATION APPLICATION NUMBER ��3( L APPLICATION DATE Job Site Address Unit # O PROPERTY )(1OWNER INFO: (All owner information is required - it is not optional) Phone # (/ � _ ! OT- �059 Last name /A111T 1 1�y OP (BirjNY c—WFirst Name Middle �-1.2, - � �17 y Zttt CoK(�s State Cb Zip Street Address p� Cit -7 CONTRACTOR INFO: Company Name �_o 4co) Latia-6--+r. ,�_ Contractor Phone # �!� �322 Lic Holder NameZU S6" J. `A 9 —e,- t4 City of Fort Collins License # Supervisor Cert # ••''� 7 � Mailing Address ` 61C Lo-n SEA V � City fbax- �� tnS State � Zip < LEGALINFO: Subdivision/PUD Filing # Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft ' �� # of Stories Bldg Height # Dwelling Units 161 Floor Sq Ft Finished Bsmt Sq Ft Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: 2nd Floor Sq Ft 3`d 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 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door List appropriate option Water Tap Size Sewer Tap Size 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 8 profit) $ 2 S OOO "'--- Description of Work: Ito 'CT -a _ c4a'%S?-Wm4 I-Altx�� 02-nn0psc_ INI F/1 Subcontractor Info., �iYI '�� ` ` 1 N Electrical Ak N` 6A�IZC Mechanical �� MI e.4 NQAR VK4 _'� lumbing i Framer ROng Concrete Fireplace Solar Applicant: I hereby a contained herein and Applicant Other Other on and state that the above information is correct and agree to comply with all requirements laws regulating buildi struction. \ / Print Nam t v a, I -Phone q 70 Yellow — Applicant Pink — WWW/Stormwater TNDS APPLOCA710M lEXPU RES 180 DAYS FROM APPLUCATOON DATE ➢ Are there any exterior building changes associated with the work? If yes, please describe: City of Planning, Development and Transportation Fort Collins PO Box 580 I� 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: 13 D (c2 Li 1 Job Site Address: 42-4- New Building Building owner: n< s S Addition N �-� W ae,, Building owner address: of Remodel/TF Y— Building owner phone #: 970 ` o-7— `70S 0 Name of Business: eac,.U�VI-C, Proposed Use: (i.e. medical, office, bank, retail, etc) ��►� Project square footage: ti Soo S F H For commercial remodels 8 tenant finishes, please answer the following questions: ➢ Is the rem n ishes for an (please circle answer) existing tenan 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? Yes o No c Z 7113 Sign tur of pl' an �c , Date � �G�%!c 41— //� rRr9322— Name (please print) Local daytime phone # �6?ZA City of ,F. &t Colhns Planning; Development & Transportation Services 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 2-1-20I2) The items listed below must be included in all new commercial ap-lications-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 lniti Building Permit Application - Three partform 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 cop/esof complete architectural plans drawn to scale showing all floor reflected ceiling lighting layout, plans, plans with 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 v existing 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 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 1/required to contact City of Fort Collins Utilities to schedule a free energy assessment. See Poudre Fire Authority at www.poudre-fire.org/services/nermits.php for their submittal requirements. Job Site Address 'A-2,4, ?I Ne. �� . 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