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PMT - 2130 ARAPAHOE AVE - Application Form(3)City of Boulder Planning and Development Services 1739 Broadway, 3rd Floor Boulder, CO 80306 Date Received:Case No. l Phone: 303441-1880 Fax: 303-441-3241 6 PMT: ~,epb-00 4L[ os w~` Multi-Family and Non-Residential Building Permit Application Name: Address: Address:Q Phone:Fax:Fax: E-Mail: Name:W Address: Address:C Q Phone:Fax:L Fax:L_G,~~ E-Mail:License Commercial Multi-Family Mixed Use Indus[rial i~Qthef f Q~v~tar,J d d- 1QP,l ) 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 1 and 2 for each separate use. Occupancy Classification Scope Specific Use Construction Type Automatic Fire At F1 11 R3 New Finished Basement I-A III-A Extingui~sthing System A2 F2 12 R4 Core 8 Shell Mfini-Warehousing I_g III-B Yes (yAlo A3 H1 13 S7 AddRion Unfinished Basement Automatic Fire Tenant Finish II A V A Alarm SystemA4H214S2B_g AS H3 M tl Interior Sq. Ft Yes ~No emodeVExterior Sq, FtValuaHon V-B B H4 R1 Repair Sq.Ft Valuation Sprinkler System E HS R2 TenaM Remodel Sq. Ft Valuation NFPA 13 ?13-R 13-D AmusemeM/Recreational Motel/Hotel/B88 Research& Dev.Carport-Attached Shed Commercial/Retail Multi-Fatuity Dwellings Restaurant Carport-Detachetl Sho P Financial Institution Ofice -Administrative gSCh001/Educational Deck Swimming Pool Government Uses Office -Professional Service Industrial Garage -Attached Telecommunications Hospital/Institutional Office -Technical Service Station Garage -Detached Other ManufaduredlMobile Home Describe Below) Parking Garage SF Attached Dwelling patio Cover Manufacturing Personal Service Warehousing porch Medicel 8 Dental Clinics Religious Assembly Wholesale Public Works/UtilRies L~ L I Q 1 on Residential Valuation S Non-Residential Valuation S Add New Replace Type of Service W~~" ~b f ifSk{S Check the Included Items Residential Only Non-Residential ? Residential New Wiring Sq. Ft.Temporary Construction Power Mobile Home Size of Service Rewiring Sq. Ft.Other Residential Valuation S Non-Residential Valuation $..,.~_o~ _New Replace Indicate types of systems to be installed and their locations using locations listed below: Basement, Crawl Space, Garage, Kitchen, Rooftop, First Floor, Second Floor, Third Floor, Fourth Floor, Fifth Floor Water Heating System Building Heating System Gas System Hood Low Pressure Boiler Duct Furnace Fireplace Insert Type I. Vent and Fan Hood Water heater Forced Air Furnace Gas Fireplace Location Location Heaung and Cooling Unit Gas Logs Type II. Vent and Fan Hood High Pressure Boiler Gas Meter Move Location Cooling System Low Pressure Boiler Gas Piping Comfort Cooling Sealed Combustion Heater Gas Piping and Fireplace Refrtgeration Space Heater Location Ventilation Equipment Unit Heater Location Location Residential Valuation S Non-Residential Valuation S Plumbing System Backflow Preventors Fixture Relocate Only Baths Fire Line Quantity Sewer Set Irrigation Quantity Interceptor Roughed-in Domestic Quantity Water Piping Stormwater Management Residential Valuation S Non-Residential Valuation S Detention Pond ! Stormwater Quality Facility Landscaping Screen Service Area Trash Enclosure Erosion Control /Stormwater Management Plan (SWMP)' Street 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 Upon Completion Total Gross Floor Area of Buildings S .Ft.S .Ft. Number of Floors Above Existing Grade Plane Number of Residential Units Number of Accessible Fair Housing Act Units Building Coverage or Lot Coverage Zoning District:Floodplain: Y or N; If yes, Flood Permit Number Number of Affordable Units:Basement: Y or N Historic District: Y or N Landmarked Bldg.: Y or N xistin Uoon Completion Open Space (Sect. 9-3.2-6 8 9-3.2-7, BRC.)S .Ft.S .Ft. Number of Parking Spaces _ Provided _ Required (a-3.2 BRC) Number of Handicapped Spaces _ Provided _ Required Not Applicable Lot Area:Sq. Ft. (not aces) Heigh 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., Sfte Review, Use Review, PUD, PRD, PD, etc.)7 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. I agree to pertorm the ork described herein, in accordance with the plans and/or specifcetions submitted and with all provisions of the Building Co oning Ordi ce, Health Regulations of the City of Boulder as enumerated in t e B ulde/r Revised Code, 1981. Signature: c Date: Z-~Z~ dln J Landmark Alteration Certificate Granted to Nfi~e~PPr u,~~~~urr~ For the property at 2130 k+M~tvE ven?~E iNCV~~ Sc-c~ao~~ This 2 day of M 2006 The following alterations have been approved: RC~fdn-arto.~ of Noo-~ G2~-v~t-szo~o~ 2, ~l cr~r •~l~- L Lu~J l.~/~- R~~O iJ r7 T~.J a 6 /.1 L,fjvtl r Jul G'~ t~z06G Sal ~cc~t't~ o ~ ti M~,DI~STb2vrR u~ SHa~~o 8c 5~~~~ '(a ,Sifter 2 111~ Signed By: Landmarks ervation Adviso Boa Mer er Lan narks Prese v tt n ry $ rd Member Histor'c Pr erv ion lanner Ex ' es 80 days from date shown. Issuance of this certificate does not exempt the applicant from complying with all Ciry codes, including land use and building codes.