HomeMy WebLinkAbout3223 Muskrat Creek Dr - Applications/Basement Finish - 11/13/2009j BUILDING PERMITS & INSPECTIONS DIVISION
\ PO Box 580 • Fort Collms, CO 80522-0580 • Phone 221-6760
www fcgov com/budding
City of FortColLns BUILDING PERMIT APPLICATION
IAPPLICATION NUMBER LJV 07 9135 APPLICATION DATE L 11,3 'V - 1 I
Job Site Address
Unit #
PROPERTY OWNER INFO (All owner information is required — it is not optional) Phone #
Last Name L /7�11:]�I'G % First Name G1�l�J:/ eo L/Ei46✓A� Middle
Street Address 3ZZ_�/IS.L/L�/¢% �/ZL',Q' City12%(.IJGG//� State Zip C9e�
CONTRACTOR INFO Company Name f/!�1 Lf%G/S//(Gsfttractor Phone//# %�7� ae 167�
Lic Holder Name �( ,�� /� ' City of Fort Collins license # �' (l/�d Supervisor Cert #
Mailing Address &14/�/�E �2-% City zT (aLl*w5 State f% _ Zip mil/
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Subdivision/PUD
Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO, Total Building Sq Ft (not including basement)
Total Garage Sq Ft
Residential Sq Ft Comm I Sq Ft # of Stones Bldg Height # Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft Z6W
# of Bedrooms
Air Cond►bonrng Yes No
3 ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTIUTIES INFO
# of Full Baths % Baths % Baths # of Fireplaces
Energy info (Circle appropriate choice) 1 ComCheck 2 ResCheck w/Air Sealing
4 E-Star w/Blower Door 5 Prescriptive w/Air Sealing 6 Prescriptive w/Blower Door
List appropriate option #s
Water Tap Size Sewer Tap Size Metered Yes or No Temp Pedestal Yes or No
Type of Heat ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
//�,, Oil
Value of Construction (including labor material & profit) $ �/—O-jyao
LG2�C7 bF
DescnpbonofWork �i,vis �v�� E�Ei✓r / ) 3eO/LoorMs I- P-Z�y AlZel,
4- -1 (100 vtn A-tJ 0 1 a-; 11 T2, a-, P411
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Contact Name & Phone # of JOBSITE SUPERVISOR
Subcontractor Info j
Electrical s77 Mechanical ki 1 Ae^Al L-'
Framer al610�ve1�0d n� Concrete
Plumbing(. 6? PuiMg/ly�,
AXP Ivy / ," G
Other
Applicant I hereby acknowledge that I have read this application and state that the above information is connect and agree to comply with all requirements
contained herein and City of Fort CollZins ord—inanoes and state laws regulating building construction �
Applicant Signature Print NameC
_ fX—r�� —� Phone XO /6 9
Distnbution White — Office Yellow —Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE