HomeMy WebLinkAbout704 W Myrtle St - Applications/Duplex - 05/01/2017of
I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
L Collins 281 N College Ave - Fort Collins, CO 80522-0580 - Phone- 970-221-6760
// www-fcgov cornlbuilding
�j 40C/dSl BUILDING PERMIT APPLICATION
APPLICATION
V;j J 418EN ll Is] I I
Job Site Address 70* \Ale9r M y r+I e 5t-rear Unit #,
PROPERTY OWNER INFO. (All owner information is required — it is not optional) Phone # (gq -74g) 2 9. ), ). S 31
Last name CT rOVleiJO IIBr First Name T Pd-ie r Middle _j
Street Address ?01f \,Je-5.+ M y tr4-1,v Sd- r"+ City_c rd- Co I � i k s State C O zip 05.21
CONTRACTOR INFO Company Name 9 t l-a tDn 6(A from FTor' 5 Contractor Phone #Lg7O) S S 6-' 4;t '-1 7
Lic Holder Name P0y1 Feh diGf fi Clty of Fort Collins License # V -S8 ] Supervisor Cart #
Mailing Address r;l.?/ Al, WLtG mki 54- City"_ CclliitSi State Cy Zip SUS.Z�
LEGAL INFO.
Subdivision/PUD �✓G'ia- ` ee W pt Filing # �Lot # s Block #� Lot Sq Ft
CONSTRUCTION INFO, Total Building Sq Ft (not including basement)-y--y/1.1J61-7 ( O Total Garage Sq Ft
Residential Sq Ft
C�$ 0 Comm I Sq Ft # of Stories 2 Bldg Height # Dwelling Units
151 Floor Sq Ft 8 8 0 2"d Floor Sq Ft 3rd Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths --- L_ % Baths '/2 Baths # of Fireplaces
Air Conditioning Yes (9 Energy Info ( Circle appropnate 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 #
List appropriate option #s
UTILITIES INFO.
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Water Tap Size � Sewer Tap Size 3 /4 Metered Yes or No Temp Pedestal Yes or No
Type of Heat 1Z Gas ❑ Electric Electric Main Breaker Size (Residential only) ®150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor material & profit) $ 7 fi 1 `7
Contact Name & Phone # of JOBSITE SUPERVISOR P`6a-6 V fie ' 0170) � 5 6 - 4') q7
Subcontractor Info,
Electrical Al I I ah i-e Mechanical
Framer S4-y -t 1' 6 VL Roofing
Solar
Other
R edS+-ein e
Concrete
Other
Plumbing AA b ktei, k 6( K 5
Fireplace
Other
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Applicant I hereby acknowledge that I have read th plication and state that the above information is correct and agree to comply with all requirements
contained herein and City of rt Collins or IGan rid state laws regulating building construction
Applicant Signature 7' Print Name f P/� 60—'D H ewO ('ef_Phone(976) 22)- _) 6 yy
Distribution While —Office Yellow —Applicant Pink — WWW/Slormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE