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HomeMy WebLinkAbout3235 MUSKRAT CREEK DR - APPLICATIONS - 1/25/2010Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES \ - 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER_ S I O OO 31 V Job SiteAddress �_ WA Kea'{- Dee APPLICATION DATE b I 116 Iz©I O PRO PERT_YC'OpWN_ER INFO: (All owner information is required - it isnotoptional) Phone #. Last name 'J,l k First Name b ►`o, 4 �I I"& Unit # Middle Street Address StSS_ Nyskvra'i (ock City Sytattel> Zip OR IN [CONTRACTCompany N.{ ame � 1 u lATo Na Contractor Phone #�0 1J Lic Holder Name ?0 Semi ��i!ma) City of Fort Collins License # Supervisor Cart # 33 Mailing Address 'I U Ts CityI- I�J State d Zip RT5 ZL LEGAL INFO: Subdivision/PUD CONSTRUCTION INFO: Total Building Sq Ft (not including Residential Sq Ft Comm'I Sq 151 Floor Sq Ft j 2nd Floor Sq Ft Finished Bsmt Sq Ft A J b to # of Bedrooms Filing # Lot # Block # Lot Sq Ft Total Garage Sq Ft # of Stories Bldg Height # Dwelling Units 3`d Floor Sq Ft _ I # of Full Baths 3/4 Baths Unfnshed Bsmt Sq Ft; /s 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. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # List appropriate option #s UTILITIES INFO: 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 ❑ 20O Amp ❑ Other IIY.0() Descripti� on_bf eork:9 1 tklId'I IOA� QM'I t pl� 4J90ti1 ; �i'� W q Contact Name 8 Phone # of JOBSITE SUPERVISOR: N �a_ubcontraQQctor Info•J, Electrical I i ` nfDecfyiG Mechanical P�r1J 11�� 1 � VII� Neval. f (u, �1+6 I '71 �h j� Plumbing � j��;1 j� Framer V� L� turfing Concrete Fireplace WeS,l rp Solar Other Other 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 ordinances and state laws regulating building construction. A - vvl Iicant.Si natured �PrintN_ame 4 Phone 0 r Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE