HomeMy WebLinkAbout4700 MCMURRY AVE - APPLICATIONS - 4/21/2009""NkBUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www. fcgov.com/building
Citv of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER '� " t_0 APPLICATION DATE
Job Site Address c`�t /E-{��( ✓ �� unlit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # -/ 0 - zjb(e •I 5z)b
Last Name r tS ( U.0 First
/Name `. Middle
Street Address_3o,8 F . pWr�01/�� I--a#�� City 'f(X���Y� S State C�0 Zip
CONTRACTOR INFO: CompanyName 6rN fWrY.c1n 0&4f Contractor Phone # 970 - 2 o7 • " J�
Lic. Holder Name F-�'Ii'l�i'VIGw�� City of Fort Collins License # Supervisor Cert #
Mailing Address 3003 �• t'� rYi/l01'N l?',k City �z�'i—G�Ih S State C4 Zip
LEGAL INFO:
Subdivision/PU
Filing # Lot #
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)
Block # Lot Sq Ft
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 Y Baths # of Fireplaces
Air Conditioning: Yes No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing
List appropriate option
6. Prescriptive w/Blower Door
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) $ ! UV
Contact Name & Phone # of JOBSITE SUPERVISOR: ba ye, 4ota-f- 1?0 • lGt • -Ae 3r,
Subcontractor Info: Electrical hc¢v.Yt �� — 6
Frameri l C/. he&k— . Roofing
Mechanical _3� �1YK / Plumbing 4177
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. 7��r
Applicant Signature Print Name Phone �' ��?'
ution: White — Office Yellow — Applicant Pink — WVWV/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE
Community Planning and Environmental Services
, 64l= Fort Collins Neighborhood & Building Services
City` bfl;6?tCol1hj 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: It ti i% 0 17
4
Job Site Address: `160 Ac mkrm Unit # 10
New Building Addition Remodel/TF
Name of BusineJ: VV-tSS v- GnC�t.lj q
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage:
For commercial remodels and tenant finishes, please answer the following:
gd Is the remodel/tenant finish for an existing tenant or new
tenant? K GW
If for a new tenant, is this the first tenant to occupy this
space? go
)6. If not the initial tenant for this unit, what was the previous use of this
tenant space? (If known) ' Ge—
Are ther any exterior elevation changes associated with the
work? a
Describe:
Signature
Name (Plea a print)
+ �4 too?
Date
1.0 35��
Local daytime phone #