HomeMy WebLinkAbout140 W MULBERRY ST - APPLICATIONS - 1/22/2013�'fty Qf COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 870-416-2740
%vvmfcgotrcorn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER '97 `b tb✓ v APPLICATION DATE
Job Site Address 140 West Mulberry Street Unit #
PROPERTY OWNER INFO: (All owner Information Is required- It Is not optional) Phone # 970-221-6605
Last name Miglohelbrink First Name Helen Middle
sveetaddreag 281 North College Ave.. city Fort Collinste.CO Zip 80522
CONTRACTOR INFO: Company Name ECI Site Construction Management Contractor Phone # 970-669-1 291
Lic.Holder Name Tony Perdue City of Fort Collins Lioense # C1234 Supervisor Cart #3379
Mailing Address PO BOX 2135 city Loveland State CO by 80539
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # lot Sq Ft -
CONSTRUCTION INFO: Total Building Sq Ft (not Including basement) 162 Total Garage Sq Ft
Residential Sq Ft Comml Sq Ft # of Stories Bldg Height 15 ft• # Dwelling Units
10 Floor Sq Ft 2n° Floor Sq Ft 3m Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms _ # of Full Baths _ % Baths _ 1r6 Baths _ #.of Fireplaces
Air Conditioning:, Ye Energy Energy info::( Circle appropriate &4ice) 1. ComCheck ❑ 2. ResCheckw/Air Sealing
3. ResCheck w/Blower Door 4. Simulated Performance AltemativeD:6; Prescriptive w/Air Sealing S. Prescriptive w/ Blower Door'
City of Fort Collins Stock Plan # 1923 List appropriate option #a
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes I]No❑ Temp. Pedestal Yes❑ No ❑
Type of Heat: D Gas ❑Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less. a 200 Amp 00ther
Value of Construction (including labor, material 8 profit) $ 183,000.00
Description of Work:
Mason Corridor OTIMT Project - Earthwork, oun attion, Fabrication/Installation of Stations, Masonry, Pavers
Contact Name 8 Phone #'of JOBSITE SUPERVISOR: Rick Coulter 970.218-4203
Subcontractor Info:
Electrical Sturgeon 303-591-9072 Mechanical
Framer C"'bs1Di 1 ""°""a''"11W'Roofing
Solar Other
Plumbing
Cdowmpw CmauW 970Bae-0Wa
Concrete Fireplace
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 olloginces and stale laws regulating building construction.
Applicant Signature L �---� Print Name Tony Perdue Phdre 303-503-4767
Distribution: - White —OHice Yellow —Applicant Oink —MM/Stormwater
THIS APPLICATION EXPIRES 180'DAYS, FROM APPOCATION DATE'