HomeMy WebLinkAbout2374 Nancy Gray Ave - Applications/Deck - 09/29/2016- Vi -
Fort�llins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER _ f APPLICATION DATE
Job Site Address 2374 Nancy Gray Ave
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last name Bucking Horse Development Inc. First Name Middle
Street Address 7307 Streamside Drive City Fort Collins State CO Zlp 80525
CONTRACTOR INFO: Company Name Bellisimo Inc. Contractor Phone # 970-229-5900
Lic Holder Name Gino Campana City of Fort Collins License # B345 Supervisor Cert #
Mailing Address 7307 Streamside Drive city Fort Collins State CO Zip 80525
LEGAL INFO:
Subdivision/PUD Bucking Horse
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm] Sq Ft,
� 15' Floor Sq Ft
2"d Floor Sq Ft
Filing # 2 Lot # 9 Block # 6 Lot Sq Ft 5111
ement) 225 Total Garage Sq Ft
_ # of Stories Bldg Height # Dwelling Units
3rd Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/ Baths '/2 Baths # of Fireplaces
Air Conditioning: Ye�]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 F] 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 []No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: F1 Gas1-1 Electric Electric Main Breaker Size (Residential only) 1-1150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 5,028.75
Description of Work:
Attached wood d
Contact Name & Phone # of JOBSITE SUPERVISOR: Dom Campana - 970-402-0050
Subcontractor Info:
Electrical
Framer Zoweh Builders
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 or ' ances and state laws regulating building construction.
Applicant Signature Print Name Nicholas Campana Phone 970-402-0919
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater