HomeMy WebLinkAbout605 S COLLEGE AVE - APPLICATIONS - 2/27/2017Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
wwvAfcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER APPLICATION DATE
Job Site Address 605 S College Ave. Fort Collins CO 80524 Unit #
PROPERTY OWNER INFO: (All owner Information is required — it Is not optional) Phone # 970.402.9984
Last name Pass First Name Richard Middle
Street Address 523 Remington Street C,Fort Collins State CO Zip 80524
CONTRACTOR INFO Company Name TBD Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cart #
Mailing Address City State Zip
Subdivision/PUD Harrison Filing # 97141-14-001 Lot # 6 Block # 116 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 3,511 Total Garage Sq Ft n/a
Residential Sq Ft n/a Comm'I Sq Ft 3.511 # of Stones 1 Bldg Height # Dwelling Units
1° Floor Sq Ft 3,511 20d Floor Sq Ft n/a
31d Floor Sq Ft n/a Unfiished Bsmt Sq Ft n/a
Finished Bsmt Sq Ft 3,495 # of Bedrooms n/a # of Full Baths n/a % Baths n/a 1/2Baths n/a # of Fireplaces n/a
Air Conditioning Ye✓ No Energy Info ( Cuc/e appropriate choice) 1. ComCheck ❑✓ 2 ResCheck w/Air Sealing
3 ResCheck w/Blower Door H4 Simulated Performance Alternatives 6 Prescriptive w/Air Sealing ❑ S. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered Yes [Z]Nol:l Temp Pedestal Yes❑ NAZI
Type of Heat n Gas ❑Electric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less Z 200 Amp DOther
Value of Construction (Including labor, material & profit) $ 230,300
Description of Work
Inte�or remade+
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
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 Fort Collins ordinances and state laws regulating building construction
Applicant Signature_ C LJG ePrint Name Caroline Linster Phone 720.946.3228
Distribution White —Office Yellow —Applicant Pink —VWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City Of Planning, Development and Transportation
F®rt Collins 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: 605 S College Ave, Fort Collins, CO 80524
New Building
Building owner:
Addition
Dr Richard Pass
Remodel/TF x
Building owner address: 523 Remington Street, Fort Collins, CO 80524
Building owner phone #: 970 402 9984
Name of Business: Foothills Family Dental
Proposed Use: (i.e. medical, office, bank, retail, etc) Dental office
Project square footage: 2,303 sf
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an lease circle answer)
existing tenant or I 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? nffira
➢ Are there any exterior building changes associated with the work? Yes or No
If yes, please describe:
UCti�c.--
L
Signature of applicant
Caroline Linster
Name (please print)
2017 02 21
Date
720 946 3228
Local daytime phone #
61700921