HomeMy WebLinkAbout914 W LAKE ST - APPLICATIONS - 5/17/2011Cityof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wvvw.fcgov.com/building
/1 / BUILDING PERMIT APPLICATION
APPLICATION NUMBER /V � !3 APPLICATION DATE
Job Site Address 914 West Lake Street Unit # s-4'�-
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970.482.3898
Last name Gower First Name Charles Middle
Street Address 914 West Lake Street City Fort Collins State CO Zip 80521
CONTRACTOR INFO: Company Name Brinkman Construction, Inc. Contractor Phone # 970.267.0954
Lic Holder Name Paul Brinkman City of Fort Collins License # B-361 Supervisor Cert # 2441-13
Mailing Address 3003 East Harmony Rd., Suite 300 City Fort Collins State CO zip 80528
LEGAL INFO:
Subdivision/PUD College Heights Filing # Lot # 12,13 Block # 1 Lot Sq Ft 83,812
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 59,574 Total Garage Sq Ft N/A
Residential Sq Ft 57,117 Comm'I Sq Ft # of Stories 3 Bldg Height 26' # Dwelling Units 94
Is' Floor Sq Ft 19,039 20d Floor Sq Ft 19,039 3'd Floor Sq Ft 19,039 Unfiished Bsmt Sq Ft N/A
Finished Bsmt Sq Ft N/A # of Bedrooms N/A # of Full Baths N/A % Baths N/A '/2 Baths N/A # of Fireplaces N/A
Air Conditioning: Ye Go Energy info: ( Circle appropriate choice ) 1. ComCheck 1:1 2. ResCheck w/Air Sealing 11
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 #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑No[] Temp. Pedestal Yes❑ No
Type of Heat: F1 Gas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less1:1 200 Amp DOther
Value of Construction (including labor, material & profit) $ 20,000.00
Description of Work:
Phase One/Office Remodel - remove and replace entry door, demo partial walls at existing bedroom and kitchen, add partitions for
new break room. relocate Dlumbing to new sink area and add new casework flooring & paint
Contact Name & Phone # of JOBSITE SUPERVISOR: Jim Ciesla 970.267.0954
Subcontractor Info:
Electrical Gregory Electric
Mechanical N/A
Framer HWA'-e'T y all Roofing NSA
Solar N/A
Other N/A
Concrete N/A
Other N/A
Plumbing Linds Plumbing & Heating
Fireplace N/A
Other N/A
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 Fort Collins ordig6ances and state laws regulating building construction.
Applicant Signature Print Name Jim Ciesla Phone 970.267.0954
\Ij
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of
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: 914 West Lake Street
New Building
Addition
Building owner: Charles Gower
Building owner address:
Remodel/TF X
914 West Lake Street, Fort Collins, CO 80521
Building owner phone #: 305 - 5 8 F - 8 9A14
Name of Business: Rams Crossing at Campus
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: 57,117
For commercial remodels Ft tenant finishes, please answer the following questions:
➢ Is the rem9de1Aenafttkinishes for an (pl ase-Ei a answer)
existing tenant or, -new tenant? 1jf
➢ If for a new tenant, is this the first tenant to occupy this space? es or No
➢ If not the initial tenant f r this unit, what wa�revious use of this tenant
Space?
➢ Are there any exterior building changes associated with the work? Yes or 0
If yes, please describe:
of applicant
Jim Ciesla
Name (please print)
May 17, 2011
Date
970.267.0954
Local daytime phone #