HomeMy WebLinkAbout4625 S MASON ST - APPLICATIONS - 12/13/2011 (2)N` Z
City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER_` 0 I 1 `) / APPLICATION DATE L
Job Site Address 4625 South Mason Street
Unit #
PROPERTY OWNER INFO: (All owner information is. required —it is not optional) Phone -# (479)204-2186
Last name Wal-Mart Real Estate Buisiness Trust First Name Middle
Street Address 2011 SE 10th Street City Bentonville State AR Zip 72716-0550
CONTRACTOR INFO: Company Name (To be determined) Contractor Phone # TBD
- Lic Holder Name
City of Fort Collins License #•
Mailing Address City.
LEGAL INFO:
Subdivision/PUD#1591 Arbor Plaza PUD, FTC
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'-0" # Dwelling Units
151 Floor Sq Ft
21d Floor Sq Ft
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/, Baths '/2 Baths # of Fireplaces
Air Conditioning: YeS Non 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:
Water Tap Size 2 1 /2" Sewer Tap Size 6° Metered: Yes ZNoll Temp. Pedestal Yes❑ No W1
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less 11 200 Amp DOther
Value of Construction (including labor, material & profit) $ 3,512,000
Description of Work:
s Demo: Existing entire garden center area for expansion,all front & rear offices, and mezzanine.
Contact Name & Phone # of JOBSITE SUPERVISOR: To Be Determined after project goes out to bid.
Subcontractor Info:
Electrical TBD
Framer
Solar
Roofing
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 NameLghsA4eMvrray Phone 316-268-Q230
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Distribution: White —'Office Yellow — Applicant Pink = WVVW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE