HomeMy WebLinkAbout4700 MCMURRY AVE - APPLICATIONS - 3/23/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER (, APPLICATION DATE ��✓/.�
Job Site Address GO r Unit^^#
PROPERTY OWN
ER INFO: (All owner information is required - it is not optional) Phone # a' "lC�' /&
Last name First Na e 40,k Middle
_ $oS.�y
Street Address vO /'� o P City St zip
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CONTRACTOR INFO: Company Name Contractor e # 9
Lic Holder Name ��/i/` , (01 7i z City of Fort Collins License #C#C�� - Supervisor Cert #
Mailing Address 0'� /7,�j City State Zip®�T
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] Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft 2nd Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/z 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. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
Water Tap Size Sewer Tap Size
Type of Heat: ❑ Gas ❑ Electric
List appropriate option
Metered: Yes or No Temp. Pedestal Yes or No
Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
*alue of Construction (including labor, material & profit)) $
*Description of Work: /�j//ff_
Contact Name & Phone # of JOBSITE SUPERVISOR:
%*Subcontractor Info. -
Electrical - 7
Mechanical rT�I' �/
Plumbing
Framer
Roofing
Concrete
Fireplace
Solar
Other
Other
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 ort Collins rdinances and state laws regulating building construction.
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Applicant Signature Print Name A / v� Phone
If
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City Of Planning, Development and Transportation
Fort Collins PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134fax
Commercial Construction Application Information
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Revised3/�30/2Q09 �45
Application Number:
Job Site Address:
New Building
Building owner:
Building owner address:
Addition Remodel/TF —r
Building owner phone #: �'� -rz� � —1.rV-0
Name of Business:
Proposed Use: (i.e. medical, office, bank, retail, etc)
Project square footage: c<7�F�
For commercial remodels & tenant finishes, please answer the following questions:
➢ Is the remodel/tenant finishes for an l cle answer)
existing tenant or new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or
➢ If not the init� nant for this unit, what was the previous use of this tenant
Space? l% t, CAA
➢ Are there any exterior building changes associated with the work? Yes or
If yes, please describe:
0,-/ - 4dA —
Signatur,of appotant Date
!N '-Z )), v �4- 5 3-3
Name (pleas print) Local daytime phone #