HomeMy WebLinkAbout2221 Muir Ln - Applications/Single Family New - 05/09/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER A0 APPLICATION DATE /
Job Site Address Aol,/ mcj l r-lnjUnit # 131A
PROPERTY OWNER INFO: (AI owner information is required - it is not optional) Phone #970 -yfo/ - 6 g�
Last Name;as S Firs/t�,-tdarne (Pr (!/CV"4 /Q {matte �j�C
Street Address l "� % /�� ,�� �%-� City Z-InQ CiC� State �� • Zip
CONTRACTOR INFO::] Company Name (� Contractor Phone
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Lic. Holder Name ON `gs i4 "�� City of Fort Collins License # Supervisor Cert # OC?�
Mailing Address �� �r� City "t*44-1=11 State_ Zip 0! .3CJ
LEGAL INFO:
Subdivision/PUD 6/ 5�
Filing # / Lot #�_ Block Lot Sq Ft_6 .38.3
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft -® # of Stories Bldg Height S _ # Dwelling Units
1st Floor Sq Ft 6/p3 2nd Floor Sq Ft 733
# of Bedrooms 3 # of Full Baths 2-
Air Conditioning: Yes No
Unfinished Bsmt Sq Ft 6-� Finished Bsmt Sq Ft -4 v
% Baths .451;;
Energy info: (Circle appropriate choice)
3. ResCheck w/Blower Door Star w/Blower Door
City of Fort Collins Stock Plan # X.S%A
UTILITIES INFO:
yWater Tap Size 3 Sewer Tap Size
'/z Baths ! # of Fireplaces -8
ComCheck 2. ResCheck w/Air Sealing
Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option
Metered• es r No
MMb
- JJ
'7
Temp. Pedestal: es r No
Type of Heat: El 6 ss ❑ Electric Electric Main Breaker Size (Residential only): M-10-Amp or Less
Value of Construction (including labor, material & profit) $ _SS- o_
Description of Work:
r
Contact Name & Phone # of JOBSITE SUPERVISOR:
❑ 200 Amp ❑ Other
Subcontractor Info: ,tAA
Electricald'656V-11��� • Mechanical � \ �. A;0 Plumbing
Framerkoofing 'I— ConcreteAsmo 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 ollins ordinances and ate laws regulating building �c�onstruction. �f
Applicant Signature —s Print Named!iiu /-J�rAP Phone 547 s�
Distribution: White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE