HomeMy WebLinkAbout810 E MYRTLE ST - APPLICATIONS - 12/14/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort \Chitn s 281 M. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
www.fegov.corn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBERO APPLICATION DATE
Job Site Address810 E Myrtle Street Unit #
PROPERTY OWNER INFO: (All owner Information Is required - it is not optional) Phone # 970-449-2395
Last name Sullivan First NameLluren Middle
Street Address 810 E Myrtle Street CityFort Collins stateCO Zip80524
CONTRACTOR INFO: Company Name Old Town Design Build Inc Contractor Phone #970-617-8983
Lic Holder Name Keira Harkin City of Fort Collins License # D-541 Supervisor Cort #
Mailing Address 210 E Oak Street, Suite C cityFort Collins state CO Zip80524
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Subdivision/PUDUniversity Park Filing # Lot # B ock # 1195 Lot Sq Ft9500
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 6 /Total Garage Sq Ft
Residential Sq Ft1 � g Comm'I Sq Ft # of Stories 2 Bldg Height 28 #Dwelling Units 1
Is' Floor Sq Ft 57,4� 3 2n0 Floor Sq F042- (4Si 3n' Floor Sq Ft Unflished Bsmt Sq Ft �_ 30 Finished Bsmt Sq Ft # of Bedrooms 3 # of Full Baths % Baths _ Y2 Baths _ # of Fireplaces 1
Air Conditioning: Ye -ENO
Ill Energy Info: ( Circle appropriate choice) 1. ComCheck11 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door I 14. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing11 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size NA Sewer Tap Size NA Metered: Yes R1NoE1 Temp. Pedestal Yes❑✓ No ❑
Type of Heat: W1 Gas nElectric Electric Main Breaker Size (Residential only) 21150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 175,000 L/
of
Electrical KinnetiC
Mechanical Long Heating & Air Plumbing Monahan's Plumbing
Framer Old Town DesignA„ Roofing Kessler Roofing—. Concrete All Seasons Fireplace Quality Energy Inst�
Solar N/A
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 ordinances and state laws regulating building construction.
Applicant Signature T Print NamoKeira Harkin/Old Town i Phone 970-617-8983
Distribution: White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE