HomeMy WebLinkAbout4700 MCMURRY AVE - APPLICATIONS - 4/9/2009BUILDING PERMITS & INSPECTIONS DIVISION
' P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER d ! APPLICATION DATE v
Job Site Address l(UO ACIAkkrod Unit
# JDJ
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 10 ' 27� SUU
Last Name_' 00-K T-e- n 1 E First Name '',Y` I Middle
Street Address ' ii • 1 L r l� yyWY�� City TH�Cd �IIkS State C10 Zipwzlo
CONTRACTOR INFO: Company Name d V� k-W1G-V1 CCS✓t�• Contractor Phone #y 2(0-7 qS-I
Lic. Holder Name �VVItrCNpi City of Fort Collins �License # Supervisor Cert #
Mailing Address .566� �• r�nnoy�y r( EJI,�3-ZO City I �-Y1 State CU Zip
LEGAL INFO:
Subdivision/PUD
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not inducting basement)
Block # Lot Sq Ft
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15t Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of Work: 1 ,Y � D "i � Pk k
Contact Name & Phone # of JOBSITE
Subcontractor Info:
Electrical �' K -K-0— J�It�C-
Framer erl I C y--ez F — Roofing
970- Z22 -O
Cffill
U
Mechanical P i� �m� • Plumbing Wp*
Concrete
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 ordinances and state laws regulating building construction. ¢�
Applicant Signature Print Name M-HtE�j Jr) / I"S Phone
tribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE