HomeMy WebLinkAbout4625 S MASON ST - APPLICATIONS - 12/13/2011Citv of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F61 6j}Collins
lamc 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fegov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER \.J, 1 , ` APPLICATION DATE I01• f 13 I I
.fob Site Address 4625 South Mason Street
Unit #
PROPERTY OWNER INFO: (All owner information is.required -it is not optional) Phone #i (479)204-2186
Last name Wal-Mart Real Estate Buisiness Trust First Name Middle
Street Address 2011 SE 10th Street
C-ONTRACTOR INFO: Company Name (To be determined)
Lic Holder Name
Mailing Address
LEGAL INFO:
Subdivision/PUD#1591 Arbor Plaza PUD, FTC
city Bentonville
State AR Zip 72716-0550
Contractor Phone # TBD ,
City of Fort Collins License # Supervisor Cert #
State zip.
FXng # 96021-07-002 Lot # 2 Block # Lot Sq Ft 7.586 acres
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 95,224 Total Garage Sq Ft
Residential Sq Ft Comm -I Sq Ft 95,224 # of Stories Bldg Height 31 '-011 # Dwelling Units
15' Floor Sq Ft
Finished Bsmt Sq Ft
2ntl Floor Sq Ft
31 Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths a/. Baths '/2 Baths # of Fireplaces
Air Conditioning: YeS No0 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 # List appropriate option #s
UTILITIES INFO:
Vlater Tap Size 2 1/2" Sewer Tap Size 6" Metered: Yes 12INoll Temp. Pedestal YesE No
Type of Heat: Fv(1 Gas1-1 Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less 200 Amp Other
Value of Construction (including labor, material & profit) $ 3,512,000
Description of Work: General: Existing dark building remodel & expansion. New grocery & expanded general merchandise area, offices,
pharmacy, along with expanded new entry with brand elements. Existing roofing to be removed & replaced with new gas piping & RTU units.
Sales: All new vct & lighting, finishes. Receiving: Dock wall &.doors to be removed & replaced, new offices, new compactor. New bale,pallet & organic
storage added alonq with environmental cape.
Contact Name & Phone # of JOBSITE SUPERVISOR: To Be Determined after project goes out to bid.
Subcontractor Info:
Electrical TBD
Framer Roofing
Solar Other
Mechanical TBD
Concrete
Other
Plumbing TBD
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 of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature Print Name ,. �J gray Phone 316-268-Q230
Distribution: White — Office Yellow — Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Clty Of Planning, Development and Transportation
®rt Ccalljr°�� PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
Revised 03/3012009
Application Number:
Job Site Address: 4(a 2C ffi6sofi S*d-e-f- t-
New Building Addition X Remodel/TF k
Building owner: WAJ--Mai;.T &hie es-raYEyJstrp_ss
Building owner address: 9-0 t 1 I0*01, Sicffl-F-r-r &6r -rytV V 1 w r-- Q
-72•-71 tp . 0550
Building owner phone #: (K'tg) 20+J - 21$b
Name of Business: _k(%,-MaRt Su'P EA LF-wTEx � stall
Proposed Use: (i.e. medical, office, bank, retail, etc) kj:i4t I. -
Project square footage: °15, 2�'�� S. F • (l a c �-J D ES EX P�4ni s t e nl l _
For commercial remodels Ft tenant finishes, please answer the following questions:
➢ Is the remo4e_l_1teaaDt finishes for an (please circle answer)
existing te-n-an-ttj or new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No
D If not the initial tenant for this unit, what was the previous use of this tenant
Space?
➢ Are there any exterior building changes associated with the work? Ye or No
If yes, please describe: 9qA O-C fs o T� O Wyr1� • Q 2 A4 p f-1.JL M E d r S 44 0
V-36e4sT)VOi
%J1L'otA1'+ Hit". V>F- F?-F-&41JzsO 4(40 rje.Robfr 4r4b rtTJ VNITS Aria
�2- 14-'20 tt
Signature of applicant Date
� dre.T1 S i> . 11`�� d �-� A.v) � i �p � Z Iy � ' 0� � a •i• ? 0 �
Name (please print) 1 Local daytime phone #
Planning, Development & Transportation Services
��� ®� Community Development & Neighborhood Services
281 North College Avenue
6rt
Collins P.O. Box 580
Fort Collins, CO 80522.0580
�\ 970.416.2740
970.224.6134-fax
fcgov. com
Fee Verification Form
Address: 4�P a 5 S ` t 1( AXn Application #: t.�•` ` ` ` `� �p
❑ New Building, (Addition, ❑ Remodel, ❑ Other
Zone: Ci G ❑ New Use, ❑ Change of Use, XOther LYIPOP9), d n ( U (s4
Use: ❑ Residential, Commercial, ❑ Industrial, ❑ Other
Number of dwelling units:
Occupancy #1:
Sq. Ft. Indicated:
Valuation Indicated:
Occupancy #2:
Sq. Ft. Indicated:
Valuation Indicated:
Occupancy #3: ❑ New, ❑ Change, ❑ Existing,
Sq. Ft. Indicated:
Valuation Indicated:
SIC Code: Confirmed:
❑ New, ❑ Change, ❑ Existing, ❑ Other
Square footage confirmed:
Valuation Confirmed:
❑ New, ❑ Change, ❑ Existing, ❑ Other
Square footage confirmed:
Valuation Confirmed:
❑ Other
Square footage confirmed:
Valuation Confirmed:
Zoning Staff: �a� �i Date:
Plan Review Staff. Date:2-
CSR Staff: r�/D� Date:
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