HomeMy WebLinkAbout2263 Muir Ln - Applications/Single Family New - 05/02/2006BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov com/building N
City of Fort Collins BUILDING PERMIT APPLICATION
97 APPLICATION NUMBER 8.0 1PL AIN DATE S'a - [1 /� l/
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Job Site Address �� ;l�y�"/�r Unit # /�`'/�► �'
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Q A Q V
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 7 7d
Last Nam l L('11 E--S FirsL.Name jn �l Middle
Street Address .37 &�ATF— city State CA zip r,
CONTRACTOR INFO: CompanyName
/1 cF contractor Phone # v
Lic. Holder Name C� City of Fort Collins Licensse#upervisor Cert #
Mailing Address L1'0ZN City 1-00f�O1 L—Q State zip
LEGAL INFO:
Subdivision/PUD F
Filing #� Lot # IF Block # 2/ Lot Sq Ft 6583
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 9s 3 Total Garage Sq Ft A1ol0
Residential Sq Ft Comm'I Sq Ft Qom— # of Stories_ Bldg Height a�I,ig,_ # Dwelling Units
1st Floor Sq Ft �Qj,�— 2nd Floor Sq Ft /G / Unfinished Bsmt Sq Ft C1Z Finished Bsmt Sq Ft Q
# of Bedrooms # of Full Baths CZ_ '/4 Baths '/2 Baths % # of Fireplaces
Air Conditioning: No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door 4�/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
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City of Fort Collins Stock Plan #List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size jq Metered6 or No Temp. Pedestal: es or No
Type of Heat: Q-Gas ❑ Electric Electric Main Breaker Size (Residential only): W150 Amp or Less ❑ 200 Amp ❑ Other
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Value of Construction (including labor, material & profit) $ i 90, 7 =% 00
Description of ork:
Contact Name & Phone # of JOBSITE SUPERVISOR: �� — — goo el z
Subcontractor Info:
Electrical Gl Mechanical Cam, f,35fti,c1 L-11V—� A* 2 Plumbing (JK,fLV
Framer - Roofing �j��- --
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 Fort Collins nance�and state laws regulating building construction.
Applicant Signature, Print Name Vl�ft4 Phone
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE