HomeMy WebLinkAbout4812 Mcmurry Ave - Applications/Tenant Finish - 06/25/2015City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER r7 14 Y 0 APPLICATION DATE �� U ICI • BLS• 2��
Job Site Address (- )ut-,mt)FQ i A-0EnSUC-, , Unit # I8U
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #.
Last name AOVioS U,Ci First Name Middle
Street Address 7b City J&271- i,Cl.l��[S �Sttate CD zip W 2,
CONTRACTOR INFO: Company Name I^ 4 fx pl.p (� c i�n� Contractor Phone # "I 10-7—a4—C!%(lei
Lic Holder Name snajf�- 1 - wf7mP City of Fort Collins License # Cl' lr0`6 Supervisor Cert #
Mailing Address 5U� S, f KL= t,A&F,- City-jj� QEAWLA-AS State CGS zip ss �i
LEGAL INFO:
Subdivision/PUD CftfUDbG PSG QA-el? IV-" Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) r �Z�� - Total Garage Sq Ft
S
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1 st Floor Sq Ft
Finished Bsmt Sq Ft
2nd Floor Sq Ft
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths 3/< Baths /z Baths # of Fireplaces
Air Conditioning: &
No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
List appropriate option
Water Tap Size M L Sewer Tap Size Metered Ye or No Temp. Pedestal Yes or�
Type of Heat: JkGas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ Atl2
Contact Name & Phone # of JOBSITE SUPERVISOR: ':�-Fe&6 'SFgnnA- aDv - cogo —g-0 )'-1
Subcontractor Info:
Electrical �iMAM Mechanical �L� An% jt TAli'� Plumbing
Framer
Solar
Roofing
Other
Concrete
Other
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 o ort Collins ordinances and state laws regulating building construction.
Applicant Signature lme rjwm Print Name`}} k, 6fL Phone #j' -1 7q Z60
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Planning, Development and Transportation
_Fort Collins PO Box 580
281 N College Ave
Ft Collins, Co 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 3. 009 �
Application Number.
B15
Job Site Address: w(' Ml ray i )E Rf�S'K
New Building Addition Remodel/TF
Building owner: Tel-uvie, Lh,DW)b-<,
Building owner address: i�b �x Z� /'l fir, (E)
Building owner phone#: 11)- Z&,2-- I?_C)Q
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc) d
Project square footage: F ,t jA) SceOL "P2W
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an (p cle answer)
existing tenant or ew 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? r e=CM, &-e, 0, � S
➢ Are there any exterior building changes associated with the work?
If yes, please describe:
ig ature of applicant
Gsw W1�n
Name (please print)
bl2t .
Date
Yes or No
611U - nii = C)ZOO
Local daytime phone #