HomeMy WebLinkAbout2757 Bianco Dr - Applications/Reroof - 09/21/2018F61 t C®Wns 281 N. College Ave. o Fort Collins, CC 80524 - Phone: 970-416-2740
/ www.fcgov corn/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER 1�1 S05c�s I APPLICATION DATE
Job Site AddreSS 2757 Bianco Drive, Fort Collins, CO 80521 Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # (970) 482-6803
Last name .tones First Name Andrew Middle
Street Address 2757 Bianco Drive Fort Collins CO 80521
City State Zip
CONTRACTOR INFO: Company Name C KI�Cntractor Phone I# 3 03 ] p—i '-70 �
Lic Holder Name aU I �h City of Fort Collins License # - O7 I `I Supervisor Cert #
Mailing Address I ZC74' a WQ,.t t DC. UOI F A City LOYACIVY)On f StateZip t5 V so y
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including
Residential Sq Ft Comm'] Sq
161 Floor Sq Ft
2nd Floor Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
31d Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths '/2 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 #
UTILITIES INFO:
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 Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $ 6,930
Description of Work: "C-6 lop
24 squares of IKO Carmbridge IR
Contact Name & Phone # of JOBSITE SUPERVISOR: Rebecca Montoya 3(J 3 . -n a' 45-1 oe)
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 ordinances and state laws regulating building construction. 2
Applicant Signature /��° f`/�� Print Name CIQ CCU ririoh+oug Phone 3 J- 0- 5-7M
Distribution: White -Office Yellow -Applicant Pink -WWW/Stormwater