HomeMy WebLinkAbout318 W Myrtle St - Applications/Multi Family New - 12/28/2010COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
City of
F6rt Collins
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER I'/ 1, ) T j'"l !,D APPLICATION DATE D U P.IM,121 A. 2-D11)
Job Site Address -'::� fA 10 1. 1\11 1r'i�;=:-, --=i— Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 10
Last name dFirst Name JE7 7o(r. Middle
Street Address Citypr LO1-1'1LZS State6e—'—Zip
CONTRACTOR INFO:
Company Name, ��/� �(� Contractor Phone '# �%17- o (U
Lic Holder Name �wj'� City of Fort Collins License #GSupervisor Cert #�..
Mailing Address2/J lk /��Xj CityL�_ State�� Zip
LEGAL INFO:
Subdivision/PUD ) Filing # Lot #�,&-j8 Block #?�5 Lot Sq FL/Z/
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)!/ � Total Garage Sq Ft
Residential Sq Ft ZZ Comm] Sq Ft # of Stories Z Bldg Height U !_ V # Dwelling Units
1s' Floor Sq Ft / 2nd Floor Sq Ft V Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft f z # of Bedrooms # of Full Baths 3% Baths '/2 Baths C # of Fireplaces d
Air Conditioning: Yes Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # A, List appropriate option #s /A
UTILITIES INFO: �•
t� cr
Water Tap Size ;�7 Sewer Tap Size Metered: 49or No Temp. Pedestal aor No
Type of Heat: '4Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp Xother4oD
Value of Construction (including labor, material & profit) $ f� -
Description Qf Work:
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tk"14 cot ✓'ef J-02gf�c g
Contact Name & Phone # of JOBSITE SUPERVISOR:(Fz�������'%fl • �� ��z
Subcontractor Info:
Electrical6Lf—:-- Mechanical J�Plumbing
Framer Roofing Concrete \ � S 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 Fort Collins rdinanc state laws regulating building construction. ' I
Applicant Signature Print NameBl ! 4 t T Phon�%� • OR4 C�
Distribution: Whit — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE