HomeMy WebLinkAbout3228 Muskrat Creek Dr - Applications/Patio Cover Or Sun Shade - 04/28/2014City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
FOI t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER /7 / f"D L / d CJ D / APPLICATION
Job Site Address �a(„( 7� �(1�J�, �� UnitC#%
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last name aV n First Name h� [ Middle
Street Address 1' k7�J1� ` l� City) i 4� r ��,�✓'7 State
�tLZip
CONTRACTOR INFO: Company Name _ Larw� Contractor Phone #
Lic Holder Name t /4;at� City of Fort Collins License -417, Supervisor Cert #
Mailing Address IV ? W 2( SrTLO City State �� Zip 4.14(
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'I Sq
1st Floor Sq Ft
Finished Bsmt Sq Ft
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
2ntl Floor Sq Ft
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
3r1 Floor Sq Ft
# of Bedrooms # of Full Baths
'/. Baths
Unfiished Bsmt Sq Ft _
Yz Baths # of Fireplaces
Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing
4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal Yes or No
Type of Heat: []Gas ❑ Electric Electric Main Breaker Siizze/ (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ J,
Descritntion of Work: hol aj V-n 1d latAieit0. _ tYG (e Kir. 0exa- is
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical
Framer
Solar
Roofing
Other
Mechanical
Concrete
Other
Plumbing
Fireplace
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 ordi law regulating building construc ion.
Applicant Signature Print Name A>JK 91L I ff Phone r
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE