HomeMy WebLinkAbout2338 Nancy Gray Ave - Applications/Deck - 12/15/2016COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER R 1 07.911APPLICATION DATE I oZ I v
Job Site Address 2338 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
CONTRACTOR INFO: Company Name Bellisimo Inc.
Lic Holder Name Gino Campana
City Fort Collins State CO Zip 80525
Contractor Phone # 970-229-5900
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 Filing # 2 Lot # 3 Block # 6 Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 225 Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
15' Floor Sq Ft
2nd Floor Sq Ft
31 Floor Sq Ft
Unftished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths /2 Baths # of Fireplaces
Air Conditioning: YeGo0 Energy info: ( Circle appropriate choice) 1. ComCheck 11 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative ❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door[
j of Fort Collins Stock Plan # List appropriate option #s
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes 0No0 Temp. Pedestal Yes❑ No ❑
Type of Heat: ❑ Gas1-1 Electric Electric Main Breaker Size (Residential only) Ill50 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 5,028.75
Description of Wor
Attached wood
Contact Name & Phone # of JOBSITE SUPERVISOR: Dom Campana - 970-402-0050
Subcontractor Info:
Electrical
Framer TBD
Roofing
Solar 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.
Applicant Signature Print Name Nicholas Campana Phone 970-402-0919
Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater
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