HomeMy WebLinkAbout3414 Muskrat Creek Dr - Applications/Single Family New - 05/02/2006} BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 8052M580 • Phone: 221-6760 #639,q6
www.fcgov.com/building # 1 City of Fort Collins
BUILDING PERMIT APPLICATION
APPLICATION APPLICATION NUMBER I"1` 4 1 APPLICATION DATE
Job Site Address ��/� %�%i �.C,G Or - Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional)
Last Name First Name
Street Ad
Phone # - ;,o
Middle
State Zip
CONTRACTOR INFO: Company Name ��072y�f,G iJOy7t9g Contractor Phone # `7 %' �ie %
Lic. Holder Name 0"� 2/_ City of Fort Collins License # Z--13 Supervisor Cert #
Mailing Address AA .o •,d&* ��Z$� city (�y(fQ/� p� State _ Zip e59;5-3
LEGAL INFO:
Subdivision/PUD /�DSS/ �il.(P /�(,tQ Filing # Z,-j<=4 Lot # 3 Block # a Lot Sq Ft-9-7/7
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 09-- 5 9 Total Garage Sq Ft W QD
Residential Sq Ft 49-S49 Comm'I Sq Ft # of Stories Z Bldg Height Z8 ' # Dwelling Units
1st Floor Sq Ft /4^3 Z. 2nd Floor Sq Ft _1 Z 7 Unfinished Bsmt Sq Ft ZS Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths Z % Baths '/2 Baths / # of Fireplaces
Air Conditioning: (TO No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4. 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_ 91in
City
UTILITIES INFO:
Water Tap Size Sewer Tap Size_ MeteredC�eXor No Temp. Pedestalp or No
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less K200 Amp ❑ Other
Value of Construction (including labor, material & profit)
Description of Work: 24rye6 4 /11!2z
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical�edOa� Mechanical Plumbing
Framer !/Qf�Q(o�-( �/ •�' Roofing C oncrete Other
Applicant: I hereby acknowledge that I have read this application and state that the above information is c ct and agree to comply with all requirements
contained herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature 1�Print NameJ�GC=1�9"��1^,S P o14�7 •G�(i7-dzz.6
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE