HomeMy WebLinkAbout646 S COLLEGE AVE - APPLICATIONS - 6/7/2017City
.
of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�` Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www fcgov cotn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER R I APPLICATION DATE I I I
Job Site address 646 S. College Ave, Fort Collins, CO 80254 Unit #
PROPERTY OWNER INFO: (All owner Information Is required - It Is not optional) Phone # 61 0-298-1 1 06
Last name Couch First Name Bill Middle
Street Address 10 Campus Dr. city Newtown state PA Zip 19073
CONTRACTOR INFO: Company Name TBD Contractor Phone #
Lic Holder Name
Mailing Add
I-11XC7-\-1111III I�A
City of Fort Collins License # Supervisor Cert #
City
State
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 962 SF Total Garage Sq Ft N/A
Residential Sq Ft N/A Comm'I Sq Ft N/A # of Stories 1 Bldg Height 1 story # Dwelling Units N/A
1't Floor Sq Ft 962 2n° Floor Sq Ft N/A
3'tl Floor Sq Ft N/A Unfiished Bsmt Sq Ft N/A
Finished Bsmt Sq Ft N/A # of Bedrooms N/A # of Full Baths % Baths - '' Baths - # of Fireplaces N/A
Air Conditioning: Yes No Energy Info: ( Circle appropriate choice) 1. ComCheck Z 2. ResC heck w/Air Sealing
3. ResCheck w/Blower Door H4. Simulated Performance Alternative❑ 6. Prescriptive w/Air Sealing ❑ 6. Prescriptive w/ Blower Door)
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size 4° Sewer Tap Size 4e Metered: Yes ONoll Temp. Pedestal Yes❑ No ❑
Type of Heat: a Gas ZElectric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 215,000
Description of Work:
Some demo work, new ADA res room to be added, new interior partitions, new finishes, new lightinT
new equipment for Insomnia Cookies cookies and ice cream sales.
Contact Name & Phone # of JOBSITE SUPERVISOR: TBD -
Subcontractor Info:
Electrical TBD
Framer
Solar
Roofing
Other
Mechanical TBD
out to bid
Concrete
Other
Plumbing TBD
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 rdinances and state laws regulating building construction.
ApplicantSignatue Print Name Tiffany Chalupa Phone 817-529-6853
Distribution: White —Office Yellow —Applicant Pink —YWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Planning, Development and Transportation
FortCollins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Application Number:
Revised 03/30/2009
70, 3 0�
Job Site Address: 646 S. College Ave Fort Collins, CO 80254
New Building
Building owner:
Addition
Carlson's Investment & Management, LTD
Remodel/TF X
Building owner address: 1006 Spring Creek Ln Fort Collins, CO 80526
Building owner phone #: 970-224-2900
Name of Business: Insomnia Cookies
Proposed Use: (i.e. medical, office, bank, retail, etc) bakery
Project square footage: 962 SF
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an le a circle answer)
existing tenant or new tenan
➢ 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? Cafe/coffee shop
➢ Are there any exterior building changes associated with the work?
If yes, please describe:
ap n
Tiffany Chalupa
Name (please print)
06/02/2017
Date
817-525-0878
Yes or S
Local daytime phone #