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PMT - 2130 ARAPAHOE AVE - Application Form - Application materials (2) City of Boulder Planning and Development Services 1739 Broadway, 3rd Floor Boulder, CO 80306 rDateReceived: Case NPhone: 303-441-1880 Fax: 303-441-3241 'IPlease Note:Permit applications must be to II PMT:�II��VI� logged in by 11 am and Spm Multi-Family and Non-Residential Building Permit Application Name: Address: Address: qq�cl/' 11 �pO 2D/ pZ Phone: 7zo.3L !'e�o�3 Fax: Ol�-✓IfPJ/ Fax E-Mail: Name: Z:_,l 7�X dIL cG, 7- Address: Address: 1-- . jl— ,il�y/Ch /��!/cy�i��Sn � Address: / Li�q V&Z l U . Z// �/G!�`Q E/ 7 Z'/t[/ Phone: ZO-5 -DZZ Fax: ,P`�!6 "'i`�TlO rP7 3"-YT >l / sy.� � Fax: E-Mail: /7LiQ- bO�Q C/� /`f.�-�N �S .CLY�� b P/t Frl�/P / Ldic It-d "'ion .cJ.is License#: < 65 Commercial ❑Multi-Family ❑Mixed Use ❑Industrial ❑Other .</arr-Sfil�c��.4C�, ��v7`E,c�iD2 suo.o<�ic.�4Tieiy Tv �'�C�s�`i,�r� T a�n�7` For single use applications please complete the Type of Work and Primary Use sections below and then continue to page 3. For mixed use applications please complete the Type of Work and Use sections on pages I and 2 for each separate use. Occupancy Classification Scope Specific Use Construction Type Automatic Fire C]At ❑F1 [Ill ❑ R3 ❑New ❑ Finished Basement ❑ I-A ❑ III-A Extinguishing System ❑A2 ❑F2 ❑12 ❑ R4 ❑Core&Shell ❑ Mini-Warehousing ❑ 1-B ❑ III-B PtYes []No ❑Addition Unfinished Basement ❑A3 ❑H1 ❑13 ❑ S1 ❑ ❑ II-A � IV Automatic Fire ❑A4 ❑H2 ❑14 ❑ S2 Tenant Fini$h Alarm System /Interior Zk OD Sq.Ft ❑ II-B ❑ V-A Ll AS ❑H3 0 ❑ U ❑Remodel/Exterior Sq.Ft ❑ V-B Ya+es []No ❑�tB L]H4 ❑R1 ❑Repair Sq.Ft Total SO Sprinkler System %E [1H5 LlR2 ❑Tenant Remodel sq.Fit Valuation ji ❑13-R ❑13-D ❑Amusement/Recreational ❑Motel/Hotel/B&B ❑Research&Dev. ❑ Carport-Attached ❑ Shed ❑Commercial/Retail ❑Multi-Family Dwellings ❑Restaurant ❑ Carport-Detached ❑ Shop ❑Financial Institution ❑Office-Administrative School/Educafional ❑ Deck ❑ Swimming Pool ❑Government Uses ❑Office-Professional ❑Service Industrial ❑ Garage-Attachetl ❑ Telecommunications ❑Hospital/Institutional ❑Office-Technical ❑Service Station ❑ Garage-Detached 11 Other(Describe Below) ❑Manufactured/Mobile Home ❑Parking Garage ❑SF Attached Dwelling ❑ Patio Cover ❑Manufacturing ❑Personal Service ❑Warehousing ❑ Porch ❑Medical&Dental Clinics ❑Religious Assembly ❑Wholesale ❑ Public Works/Utilities /f/ffd�/✓i� Uti/aE�2S�� /ftd�rn�.ycsTI2�4T�oti d��c�s 306.pdf 1 Revised Feb 2010 Please complete this page for a Mixed Use application only. Occupancy Chisel tion Scope Specific Use Construction Type Automatic F e A7 F1 R3 []Addition ❑Finished Basement I A III-A Extingui ng System A2 F2 12 R4 Core&Shell ❑ rC]YesNo New ❑Mini-Warehousing ❑ I-B ❑ III-B A3H1 13 S1 Unfinished Basement II-A Fire A4 H2 14 2 Tenant Finish ❑ ❑ ❑ IVtemA5 H3 M /Interior Sq.Ft ❑ 11-B ❑ V-ARemodel/Exterior No B H4 R1 Sq.Ft Valuation ❑ V-B Repair Sq.Ft Valuation Sprinkler System E HS R2 Tenant Remodel Sq.Ft Valuation ❑NFPA13 ❑13-R ❑13-D ❑AmusementlRecreational ❑Motel/Hotel &B ❑Research&Dev. ❑O ort-Attached ❑Commercial/Retail ❑Multi-Family D flings ❑Restaurant ❑Shed arport-Detached ❑Shop []Financial Institution ❑Office-Administr 've ❑SchoollEducational Deck ❑Government Uses ❑Swimming nic ❑Office-Professions ❑Service Industrial Garage-Attached El Telecommunications ❑HospitaVlnstitutional Office-Technical ❑Service Station ❑Manufactured/Mobile Home Garage-Detached Parking Garage ❑SF Attached Dwelli ❑patio Cover ❑Manufacturing Personal Service Warehousing ❑porch ❑Medical&Dental Clinics Religious Assembly of ❑Public Works/Utilities TYPE OF •- Occupancy Classification ff—SSc1''ope S cifrc a Construction Type Automatic Fire Al F1 11 R3 addition Finished sement ❑ I-A ❑ III-A Extinguishing System A2 F2 12 R4 ❑Core&Shell ❑Mini-Wareh sing ❑ 1-B ❑ III-B ❑Yes [:]No A3 H1 13 S1 ❑New ❑Unfinished Ba ment ❑ II-A ❑ IV Automatic Fire enant Finish A4 H2 14 S2 ❑ II-B ❑V A Alarm System ,_/Interior Sq.Ft Elyes No AS H3 M U emodel/Ext for Sq.Ft Val tion ❑V-B ❑ B H4 R1 ❑Repair Sq.Ft Valua n Sprinkler System E H5 R2 ❑Tenant model Sq.Ft Valuatio ❑NFPA13 ❑13-R ❑13-D ❑Amusemenf/Recreational Mote otel/B&B ❑Research&Dev. ❑\Garage- ched ❑Shed ❑Commercial/Retail ❑M i-Family Dwellings ❑Restaurant ❑ ched ❑Shop ❑Financial Institution ffice-Administrative ❑SchooVEducationai Deck ❑Swimming Pool Government Uses Office-Professional ❑ ched ❑❑Service Industrial Telecommunications ❑HospitaVlnstitutional ❑Offce-Technical ❑Service Station ched ❑Manufactured/Mobile Ho a ❑Parking Garage ❑SF Attached Dwelling ❑ [--]Manufacturing, ❑Personal Service ❑Warehousing ❑Porch ❑Medical ❑Religious Assembly ❑Wholesale ❑Public Works/Utilities 2 ELECTRICAL Residential Valuation$ Non-Residential Valuation E ❑Add ❑New Replace Type of Service Check the Included Items ❑Non-Residential❑ Residential Only ly ❑Mobile Home ❑New Wiring Sq.Ft. ❑Temporary Construction Power Size of Service []Rewiring Sq.Ft. ❑Other MECHANICAL ----m Residential Valuation$ Non-Residential Valuation S Sdad ❑New Replace 4"f7klUG„- Indicate types of systems to be installed and their locations using locations listed below: lY!DD/F/G#4 VA., Basement,Crawl Space,Garage, Kitchen,Rooftop, First Floor,Second Floor,Third Floor,Fourth Floor, Fifth Floor ELO«TE' Water Heating System '(/09- Building Heating System Gas System Hood CO sVt 7-ienO4S Low Pressure Boiler Duct FurnacenFireplace Insert E]TypeI.Vent and Fan Hood Water heater Forced Air Furnace Gas Fireplace Location Location /n4n* A-M GZA eating and Coaling Unit []Gas Logs E]Type II.Ven[and Fan Hood Heating Pressure Boiler []Gas Meter Move Location Cooling System ❑Low Pressure Boiler ❑Gas Piping ❑Comfort Cooling ❑Sealed Combustion Heater ❑Gas Piping and Fireplace ❑Refrigeration ❑Space Heater Location 12Ventilatio quipm t ❑Unit Heater Location 0! Location ;PJ0 PLUMBING Residential Valuation$ Non-Residential Valuation S Plumbing System Baths Backflow Preventors ❑Fixture Relocate Only Fire Line Quantity ❑Sewer #Set Irrigation Quantity ❑Interceptor #Roughed-in ❑Domestic Quantity ❑Water Piping Stormwater Management Residential Valuation E Non-Residential Valuation S ❑Detention Pond/Stormwater Quality Facility ❑Landscaping ❑Screen Service Area []Trash Enclosure ❑Erosion Control/Stormwater Management Plan(SWMP)' BStreet Trees ❑Screened Rooftop Units ❑Other Dates Erosion Control will be in place: Irrigation Systems ❑Grading Cu.Yards From: To: -SWMP is required for all projects disturbing 1 acre of land or greater PROJECT DATA Existino Upon Completion Total Gross Floor Area of Buildings N 0^/NCR Elis F S .Ft. S .Ft. Number of Floors Above Existing Grade Plane '12 Z. Number of Residential Units 45 Number of Accessible Fair Housing Act Units Building Coverage or Lot Coverage Zoning District: Floodplain[ P N]If yes, Flood Permit Number Number of Affordable Units: Basement r[ Historic District:Yar N❑ Landmarked Bldg.❑Y or N❑ Existing Upon Com letion Open Space(9-9-11(0&9-9-11(c)) S .Ft. 5 .Ft. Number of Parking Spaces Provided Required(9-3.2 BRC) Number of Handicapped Spaces Provided Required El Not Applicable Lot Area: Sq. Ft. (not acres) Height from Low Point: (The vertical distance from the lowest point within 25 feet of the tallest side of the structure to the uppermost point of the roof.) Has this property been part of an approved City of Boulder review(i.e.,Site Review, Use Review, PUD,PRD,PD,etc.)?Y or N If yes,please list the project name and case number(s): 3 The fees were set by the Boulder City Council and are included in Title 4 Chapter 20 of the Boulder Revised Code. To calculate estimated fees,please reference the Schedule of Fees and Permit Fee Estimator Work Sheet. A plan check fee is required at time of application. Contractors and subcontractors are required to have an active license with the City of Boulder. This application expires after 180 days if the permit is not obtained. AFFORDABLE Inclusionary Housing requirements apply to all new dwelling units as enumerated in chapter 9-13 B.R.C, 1981. I agree to perform the work described herein,in accordance with the plans and/or specifications submitted and with all provisions of the Building Code, ning Ordinance,and Health Regulations of th "ty of Boulder as enumerated in the Boulder Revised Code, 1981. Signature: �/ d� Date: 4 CITY OF BOULDER leePlanning and Development Services 1739 Broadway, Third Floor • P.O. Box 791, Boulder, CO 80306-0791 phone 303-441-1880 • fax 303-441-4241 • web boulderplandevelop.net INSPECTION RECORD CARD Automated Inspection Scheduling System: 303-441-3280 Fire Inspection Request Line: 303-441-3354 ,.. .m�� . k , .s. 1YW �. .` a',"fi,u .GTwl_ '`' w4 f Job Site Address: 2130 ARAPAHOE AV Date: 7/6/2011 Permit Number: PMT2011-02849(Use only the nine-digit numbers [Ex: 201102849 without PMT-]when the Automated Inspection Scheduling system asks for your permit number.) Project Description: Tenant remodel of administration building, to include interior non-structural modifications on first and second floors Primary Contact: DENEUVE CONSTRUCTION SERVICES Phone: 303-444-6633 Primary Phone 303-444-6636 Fax info@deneuvecor E-Mail 303-444-6633 x 1 Primary Phone Job Site Inspection Record --Post On Job Site tns "ficin Code Description t p �r", e �� rlspec�zrApproval - „jnape�arCororrla� � t ,__� Electrical 1515 Rough Electric 1525 Final Electric \ Planning and Land Use 2570 Final Fire Inspectiony�3 n i al �J Mechanical -71+5(++ P3r4M a4% loov vv Q�^��—r-�^ 1835 Rough Mechanical 1840 Final Mechanical 11+5�u PSrltal tlaih Floov Structural 1230 Framing 1255 Final Structure _ j12-f - f s ! All rough inspections are required at the time of the Ceiling and/or Wall Insulation inspections.