HomeMy WebLinkAbout3615 Muskrat Creek Dr - Applications/Single Family New - 02/28/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
WWW.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER V I' On APPLICATION DATE Sg Z�F
Job Site Address 3Z, /.S aLngg &EF=�t r\' P, , Unit # PROPERTY OWNER INFO: (All ow er informatio is required - it is not optional) Phone # ff 246` X�714
Last Name ,55:&rst Name Middle
Street Address !� G(/ • .'7 -�• City State Zip
CONTRACTOR INFO: Company ame Contractor Phone # eZ6
Lic. Holder Name City of Fort Collins License CT -Ave —Supervisor Cert #
Mailing Address���f [J/yZ7 %G City State _ Zip �,106
LEGAL INFO: �
•YW S k I7
Subdivision/PU L;`� ?`)" �'/ fCEW ��ng #� Lot #� Block # I Lot Sq Ft M2 77 �Vn
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 30 749Total Garage Sq Ft
Residential Ft�� Comml Sq Ft # of Stories CZ- Bldg Height # Dwelling Units ONE-
1 st Floor Sq Ft ff6o 2nd Floor Sq Ft &�� Unfinished Bsmt Sq Ftc2/8— Finished Bsmt Sq Ft
# of Bedrooms S # of Full Baths 3 % Baths /z Baths cX # of Fireplaces
Air Conditioning: 0
No Energy info: (Circle appropriate choice) 1. ComCheck . 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 40. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s A/ 1A
UTILITIES INFO:
H lj
Water Tap Size Sewer Tap SizeMetere Yes or No Temp. Pedestal Yes or No
Type of Heat: )(Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Les_ s x 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ O r I p ,
Subcontractor Info:
Electrical � Mechanical (-!*NUt3M I EEQ 1 Plumbing
Framet Roofing (.Concrete�K)pp, Other
Applicant: I hereby knowledge that I have read this application and state that the above informaTdrr'i t9ft ec A agree to comply with all requirements
contained herein and City of Fort Collins ordinances and state laws regulating building construction. I a`` "� / t ' pn /
Applicant Signature Print NameVL OFF J(�I�'1��CVIV Phone 56G 1` 1 �N
Distribution: White - Office Yellow -Applicant Pink -WWW/Stormwater/&i ^ 2 �D -(
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE 1