HomeMy WebLinkAbout4700 MCMURRY AVE - APPLICATIONS - 7/30/2014City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgovcom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER A 19 0,50127 APPLICATION DATE
Job Site Address 4100 �C WLV4ZH lx\[WU e Unit # [O k
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # M • (si
Last name O&K- -1 EeLLA T 4 LLc, First Name Middle Street Address J J 5 Col *e 6LLVZDO City g�&LLt ! J J State C�D Zip 50526
CONTRACTOR INFO: Company Name ww= b,\j0V_%(-C-fl L)i / Contractor Phone # 110 •-7 4 •4131
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Lic Holder Name eaz //Jj,. (.5��I rRZUCDtA c- PFIMCY_ &�lty of Fort Collins License # �- Supervisor Cert #
Mailing Address 7?t)6 C I�� r)m_OM City W11.1t)50vo, State CT) Zip 9:)660
LEGAL INFO:
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Subdivision/PUD 0 � IG�t� IIU�y11.11?f� t Ae� Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft tsl% Comm'I Sq Ft # of Stories 2, Bldg Height # Dwelling Units
�/ mot"
151 Floor Sq Ft ZZZ Z 2nd Floor Sq Ft �Y 3rd Floor Sq Ft Ed& Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 01b # of Bedrooms Alfi—I # of Full Baths tl D % Baths t A 'Y2 Baths S # of Fireplaces f
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:
List appropriate option
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) $ I,5b 1 VVc)
Description of
1LU-VI d - G,Ar t-' ✓' Wl 1 iN
Contact Name & Phone # of JOBSITE SUPERVISOR: fb'>V_3 -eue--y C110 • (097 -9�1 C)
Subcontractor Info: n / 1
Electrical KeziT CLc,J"Ty_kcC Mechanical TC( pzj( _- U&UA8`'i AN//Z Plumbing t,' A
Framer tul A Roofing �� Concrete Fireplace r�a
Solar Other 14 Other f1j11 Other 1,J/A.
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 o ort Collin ,r�dinanncces and state laws regulating building construction. I
Applicant Signature�A v Print Name ` )LLf d CdPW ID 0, Phone 09. J(7 •7 o[4
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
CiitPy, of Planning, Development and Transportation
F6 t Cothns PO Box 580
281 N College Ave
Ft Collins, CO 80524
970-221-6760 phone 970-224-6134 fax
Commercial Construction Application Information
Revised 03/30/2009
Application Number:
Job Site Address: 4100 RCROO'P LC-I\11 L , O ETC Inl
New Building
Addition
Building owner: OW, -�c:W T LLC_
Remodel/TF x
Building owner address: \MD CCU �)UA E. ZOO lbf-l- OAl (,1A15
Building owner phone #: q-(O - 120- IS O
Name of Business: 62.6 KJb>
Proposed Use: (i.e. medical, office, bank, retail, etc) LXV1 e.
Project square footage: 25�0
For commercial remodels Et tenant finishes, please answer the following questions:
➢ Is the remodel/ ' fishes for an (please circle answer)
existing tenant or new tenant?
➢ If for a new tenant, is this the first tenant to occupy this space? Yes or No
➢ 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? Yes or No
If yes, please describe:
Signature of applicant
5u,5�� c�'►�1�1.P�o�
Name (please print)
0 1 •30'ZOl4
!Sate
-to • ti Z - Z2 5q ,
Local daytime phone #
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