HomeMy WebLinkAbout1 OLD TOWN SQ - APPLICATIONS - 8/19/2011Cltyof COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www fcgov com/building
BUILDING PERMIT APPLIC TION
APPLICATION NUMBER, APPLICATION DATE / !
Job Site Address 1 Old Town Square unit # Suite 300
PROPERTY OWNER INFO: (All owner Information Is required - it is not optionan Phone # 970-221-9332
Last name Stoner First Name Ed Middle
Street Address 5 Old Town Square Suite #216 City Fort Collins State CO Zp 80524
CONTRACTOR INFO: Company Name Dohn Construction, Inc. Contractor Phone # 970-490-1855
Lic Holder Name Douglas Dohn
City of Fort Collins License # Supervisor Cert #
Mailing Address 2642 Midpoint Dr CftyFort Collins State CO Zip 80525
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION [NFO: Total Building Sq Ft (not including basement) 5769 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft 5769 # of Stories Bldg Height # Dwelling Units
114 Floor Sq Ft
2nd Floor Sq Ft
31' Floor Sq Ft 5769 Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
Air Conditloning. Yet]N Energy info: ( Circle appropriate choice) 1. ComChec k 2. ResCheck w/Air Sealing
3. ResCheck wBlower Door 4. Simulated Performance Altemative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Doom
City of Fort Collins Stock Plan #
List appropriate option #s
UTILITIES INFO•
Water Tap Size EXISTING Sewer Tap Size EXISTING Metered: Yes []No[:] Temp. Pedestal Yes❑ No ❑
Type of Heat: 11Gas ❑ Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less 11 200 Amp ❑Other
Value of Construction (including labor, material & profit) $ 182,015
Description of Work:
Remodel of existing office space. includes smoe drywall, paint flooring and ceiling tiles. No bathrooms are included in scope
No new HVAC units are included Less than 50% of electrical fixtures are being replaced
Contact Name & Phone # of JOSSITE SUPERVISOR: Jerry Grandt 970-567-1574
Subcontractor Info:
Electrical Hanna
Mechanical Air Comfort
Framer Edgmon (Non Structural) Roofing ILIA
Solar NA Other
Concrete NA
Other
Plumbing
Neuworks
Fireplace NA
Other
Applicant 1 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 ordinances and state laws regulating building construction.
Applicant Signature Print NameEric Boehner Phone 970-566-7357
Distribution: White — Office Yellow — Applicant Pink — VW WV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
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
Commerciat Construction Application Information
Revised. 03/30/. 2009
3
Application Number:
. B
Job Site Address: I .
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New Building __-___ __ _ Addition
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Building owner: PM aV-e�' •
Building owner address:�� �-
Building owner phone M. P — g�
Remodel/TF
Name of Business: (4;`cg_ Cf
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:,
For commercial remodels Ft tenant finishes, please answer the following questions:
A Is the remodel/tenant finishes for an teas le answer).
existing tenant or ew tenan
A If for a new tenant, is this the first tenant to occupy this space? Yes or
If not the initial ten t for this uni ; what was the previous use of this tenant
space?-
➢ Are there any exterior building changes associated with the work? Yes or CO)
If ,yes, please describe; - - - -— _
Signatureof applicant 11-
Name (please, print) -- - - -
7_
Local daytime phone #