HomeMy WebLinkAbout3339 W Prospect Rd - Applications/Solar - 04/06/2012City �� CO UNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6t � n (D ns� N. College Ave. • Fort Collins, CO 80524 • Phone: 870-416-2740
M , �Q12 www.fcgov.com/building
[� DING PERMIT APPLICATION
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APPLICATION NUR r APPLICATION DATE'
Job Site Address 333G W ProW r ►Zit Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 9704845705
Last name Sokoloski First Name Leonard Middle
Street Address
3339 West Prospect Rd City Ft Collins State Co Zip 80526
CONTRACTOR INFO: Company Name Pure Logic Clean Energy SySten a or Phone # 9702261493
Lic Holder Name Brannon Bloom City of Fort Collins License # Supervisor Cert #
Mailing Address 155 E Boardwalk Dr #404 City Ft Collins State Co Zip 80525
Subdivision/PUD Filing # Lot #.
CONSTRUCTION INFO: Total Building Sq Ft (not including
Block # Lot Sq Ft
n�
"v J
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths % Baths # of Fireplaces
Air Conditioning: YeG0 Energy info: ( Circle appropriate choice) I.CornCheckEl 2. ResCheck w/Air Sealing 11
3. ResCheck w/Blower Door 4. Simulated Performance Altemative❑ 5. Prescriptive w/Air SealingEl 6. Prescriptive w/ Blower Door
Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft
City of Fort Collins Stock Plan #
2"d Floor Sq Ft
3f° Floor Sq Ft
List appropriate option #s
Unfiished Bsmt Sq Ft
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes 1No� Temp. Pedestal Yes❑. No ❑
Type of Heat: El Gas ❑Electric Electric Main Breaker Size (Residential only) 0150 Amp or Less ❑ 200 Amp ❑Other
Value of Construction (including labor, material & profit) $ $11,000.00
Descri I of ork:
5.5 ) m nisoiarpvsystem
Contact Name & Phone # of JOBSITE SUPERVISOR:
Brannon Bloom 970-566-6000
Subcontractors Info* F.
Electrical M r (1-7 (-P Mechanical
Framer
Solar
Roofing
Other
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 ordinances and state laws regulating building construction.
Applicant Signature Print Name Brannon Bloom Phone 9705666000
Distribution: White — Office Yellow — Applicant Pink — VWM/Stormwater