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HomeMy WebLinkAbout2245 Muir Ln - Applications/Garage - 02/27/20063� BUILDING PERMITS & INSPECTIONS DIVISION O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 �! �/�•�/ www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER_ 1(JAPPLICATION DATE Job Site Address 1411fUe+1' Unit # PROPERTY OXVNER INFO: (All owner information is required - it isnotoptional)) Phone # ��P4 94 d�p�' Last Name s�.� S maFat-Nwne C.:OZ�tD �LY, A -� Street Address W,3� A City State G Zip �3 CONTRACTOR INFO: Company Name t ©9 'l Contractor Phone # 970-'56r 569� Lic. Holder Name�p�) ,A-4Ar~-y-_ City of Fort Collins License # Supervisor Cert # g Mailing Address% 1V,�/� .. � CityL !0/0A-1 State �0 • Zip - LEGAL INFO: Subdivision/PUD Filing #_ Lot #-/19-- Block # aC� Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft 23 3 o-l- Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height /S-y ,# Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft # of Bedrooms # of Full Baths Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft % Baths ---- '% Baths # of Fireplaces Air Conditioning: Yes 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 # AVA List appropriate option #s UTILITIES INFO: Water Tap Size Sewer Tap Size_ Metere • es No Temp. Pedestal: Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): B-t50 Amp or Less ❑ 200 Amp ❑ Other r> am Value of Construction (including labor, material & profit) A e e A _ Description of Contact Name & Phone # of JOBSITE SUPERVISOR: 6 6 -946 qZ Subcontractor Info: Electrical /�C . Mechanical f V//Lt ` Plumbing IIJ44 xL���ticll� �T Framer Roofing Concrete 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 F Collins or ' nces and state laws regulating building construction. Applicant Signature Print NamPhone Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE