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HomeMy WebLinkAbout615 MATHEWS ST - APPLICATIONS - 10/2/2019City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES F6rt Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcLov.com/building BUILDING PERMIT APPLICATION FOR OFFICE USE APPLICATION NUMBER: 1Q /11 ` 37 g APPLICATION DATE: Job Site Address PROPERTY OW R INFO: (All owner information is required — NOT optional) Last Name L>,5 ° First Name Street Address (o(� ��7. City C-0 Phone # �B3 -91 �'j ":N3�62Email LyS 1 Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Comp y Na/m�e Rio IVA/r�rY -me License Holder Name kJVLL.4�;�ei Unit# Middle State Zip�,g T CEFIT # --4f a, LEGALINFO: / Subdivision PUD 6(36 Filing-#' #' Lot # to Block # Lot S Ft / I ��' l�/� g� � i q _ CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft. Residential Sq Ft Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft Finished Basement Sq Ft # of Bedrooms # of Full Baths Baths % Baths # Fireplaces ENERGY INFORMATION: (CHECK ONE) (Simulated Performance COmCheck ElUA (ResCheck) [I SPA Alternative) ❑ Prescriptive❑ ERI(Energy Rating Index) El Air Conditioning? YES ❑ NO ❑ City of Fort Collins Approved Stock Plan # SPO List Option #s UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑ Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑ ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) For Commercial remodels and tenant finishes, please answer theFor Commercial remodels and tenant finishes, answer the following questions: Is the remodel/tenant finishes for an existing or new tenant? (Please check one) Existing Tenant[] New Tenant❑ If for a new tenant, is this the first tenant to occupy this space? Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space? Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No Ly If yes, please describe: S 7 60 tioz) Description of Work: JOBSITE SUPERVISOR CONTACT INFO: Name ,.II �cyr �i— S�(_ Phone &42 —12�y 1 %Q3 SUBCONTRACTOR INFO: Electrical Mechanical Plumbing Framing Roofing Fireplace Solar Other ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a remodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's). ❑ I do not know if an asbestos inspection has been conducted on this property. ❑ n asbestos inspection has been conducted on this property on or about (enter date) An asbestos inspection has not been conducted on this property. 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 angCity of Fort Collins ordinances and state laws regulating building construction. n% X,-l� i � � r n l Applicant Signature I Phone # 3©3 — r I✓ GGusfre- LS ErnTHIS APPLICATIQN�E�// or Print Name �rAiG z iVl I TION DATE ?6456 F6rt Collins Design Review General Application This application should accompany your submittal of all the documents listed on the Design Review General Application Checklist. Failure to fill out these documents fully will result in delayed review. Itemiz List of Propoosed��Alt�er�ptions .g. demolish rearrporch; repair or replace windo ws / &�-Y 4 �/1 r Ale,1 ZAJ �d�/Z�--5 Materials of work (e.g. current/proposed materials of porch, windows, siding, roof, etc.) Be < Ir 0 IM / V0 Is any partial or full demolition required for work you are planning to do on this property? Partial demolition could include scopes such as taking off existing rear porches to create space for a new addition or removing an existing wall or demolishing a roof. If you are taking away pieces of the existing residence, you are likely undergoing some partial demolition. By signing below, I attest that/no no exterior work, siding replacement, or window replacement will occur under thisapplicatio��%Y���c.�u, �� Applicant Signature. _ Date: 2 (041 City of Fort Collins Design Review Application: Large Projects Design review is a process used to examine projects in designated historic areas or properties for architectural design and compatibility with the nearby historic built environment. Applications submitted for design review must be accompanied with specific information which adequately describes or studies the proposal. To comply with the required submittal standards, submitted documentation shall clearly illustrated the existing conditions as well as any proposed alteration(s). Submit this form, completed, with the required submittal documentation. Project Address: Designated Fort Collins Landmark ❑ Listed on State Register/National Register of Historic Places Applicant Name: / Uffi// r 00N_ m� Email Address-. io I 1'6 7r 11 11)2n <,0 eooAa Phone number: 39 F — 7 % 8 — Owner Name: Owner Email Address: e—, Owner Phone Number: 303 —?/ 0 — 7 34e The following attachments are REQUIRED: rta plete Application for Design Review iled Scope of Work Color photos of existing conditions Con( Reminders: Complete application would need all of checklist items as well as both pages of this document. Detailed scope of work should include measurements of existing and proposed. Please note: if the proposal includes partial or full demolition of an existing building or structure, a separate demolition application will need to be approved. Additional documentation may be required to adequately depict the project and its impact on a historic property or historic district, such as plans, elevations, window study, or mortar analysis. If there is insufficient documentation on the property, you could be required to submit an intensive -level survey form (at the applicant's expense).