HomeMy WebLinkAbout4700 MCMURRY AVE - APPLICATIONS - 9/16/2009-7113
BUILDING PERMITS & INSPECTIONS DIVISION
a P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www fcgov.com/building
6City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER J' V"f✓J hL_ I APPLICATION DATE
Job Site Address -"f-70d PC M ky' q Unit # t O
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 17y -gz(O '
Last Namen�- TccAA i LLC— �pFi�rst Name Middle G,
Street Address �J F • !- ,KyYIWI\4 ,�' fi -4t 'ke) city. '�C �� M S State � Zip U05-2-b
CONTRACTOR INFO: Company Name 1y�k-NYC h C AS^i" Contractor Phone #G�._ (70 • �O-7 -02Y+
Lic. Holder Name wwk �� 1 City of Fort Collins License #� Supervisor Cert #
Mailing Address �:�J� - � at yt � - 6 O City V-f_CZ( WKS State C� Zip 0��
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LEGAL INFO:
Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft _
# of Bedrooms # of Full Baths % Baths 'h 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
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) $_ 1 �5 1060
R ( VL n& Lj (11� .� 2 (-eC+;-► ceA_ ( Tlar 5*k -d
M P (n) -e-X ALL h 4 I/VI /��_ !) A �LIV-Kzc.vt
Contact Name & Phone # of JOBSITE SUPERVISOR: A6 Vl,Pit-1 T,'F'LCLS 97o • '�17' 3 0q�
Subcontractor Info: 1, 1
Electrical (�V�VIG� :aC It'IC-- Mechanical Y w✓'L � Plumbing \ P4I Iyic
Framer
Roofing
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 1UT1 t� hone /?� -z 1?'3.5
bution: White — Office Yellow —Applicant Pink — /Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
Fort Collins Neighborhood & Building Services
city of Farc collitis 281 N. College Ave., P.O. Box 580; Fort Collins, CO 80522-0580; Voice: 970 2216760 FAX: 970 224 6134
Commercial Construction Application Information
Revised March 6, 2006
Application Number: SuY05721
r!
Job Site Address: 4-100 Unit #
New Building Addition Remodel/TF,
Name of Business: P"SS2r —
L'
)6
Proposed Use: (i.e. medical, office, bank, retail, etc) We >� 1701�yc
Project square footage: LA �o
For commercial remodels and tenant finishes, please answer the following:
GIs the remodel/tenant finish for an existing tenant or new
tenant? 15CV5"f AU
❑ If for a new tenant, is this the first tenant to occupy this
space? Mi A-
u If not the initial tenant fort is unit, what was the previous use of this
tenant space? (If known) KI f -
o Are theregny exterior elevation changes associated with the
work?
Describe:
Signature
Name (Plea a print)
� bo 116�
Date
�70 -t- II -
Local daytime phone #