HomeMy WebLinkAbout3314 Muskrat Creek Dr - Applications/Single Family New - 12/13/2007BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
(06� www.fcgov.com/building
CitpofFort Collins BUILDING PERMIT APPLICATION
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APPLICATION NUMBERAPPLICATION DATE
Job Site Address es /-, W)nit #
PROPERTY OWNER INFO: 29��,,LjV
r information is required — it is not optional) Phone #
Last Name L^< //� /�g �jFirst Name Middle
Street Address /� / `� City -purl 0 State Zip
CONTRACTOR INFO: Company N me _ Cbrttractor Phone #
Lic. Holder Name I y of Fort Collins License —D Supervisor Cert #
Mailing Address City State Zip
LEGALINFO: %
SubJ�i ision/PUD ' �✓-%lam �Tl' Filing #� Lot #y _ Block# Lot Sq Ft 71,
/p!�/A! 6L 1 EIS / /D . �71115 m4f /,�`� -Ta4II A, i3 %J9 _ -z
CONSTRUCTION I FO: o al Building Sq Ft (not including basement) ,3 Total Garage Sq Ft a9 _4W
Residential Sq F 0 9 Comm'I Sq Ft # of Stories Bldg Heighto 0 # Dwelling Units Gam%
��99� � 6ag.< Mn> q
1st Floor Sq Ft of/J�— 2nd Floor Sq Ft %�/(J q . Unfinished Bsm Sq Ft l ! / Finished Bsmt Sq Ft —
# of Bedrooms _ # of,Full Baths c5 % Baths , /z Baths I # of Fireplaces
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing \
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
9-Star w/Blower Door
5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s
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Water Tap Size ��� Sewer Tap Size �_ Metere Yes r No Temp. Pedestal: Yes or No UQ
Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑_ 150 Amp or Less K200 Amp ❑ Other
Value of Construction (including labor, material & profit) $
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical r /s A
Framer
Applicant: I hereby ac
contained herein ands.(
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that I have read this applicat'on and state that tyfe above information is correct and agfee to comply with all requirements
2ollin r,'dinances and stat aws regulating bui{ding construction. / , / /
�r f�l /���lf%��O"� Phono.Z6— / Print Name u
fstrib n: WV i — Office Yellow —Applicant Pink — WWW/Stormwater9-��af' l71149,
ES 90 DAYS FROM APPLICATION DATE