HomeMy WebLinkAbout903 BUCKINGHAM ST - APPLICATIONS - 9/18/2012City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
F6rt Collins 281 N. College Ave. a Fort Collins, CO 80524 • Phone: 970-416-2740
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BUILDING PERMIT APPLICATION
APPLICATION NUMBER P� APPLICATION DATE / ✓//G-,
Job Site Address 903 Buckingham Street Unit #
PROPERTY OWNER INFO: (All owner Information Is required- it Is not optional) Phone # 970-482-7707
Last name GTG Investments, LLC First Name Kent Garvin, Manager Middle
Street Address 903 Buckingham city Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name NSA Contractor Phone #
Lic Holder Name
City of Fort Collins License # Supervisor Cert #
Mailing Address City State Zip
Subdivision/PUD VanWorks Filing # 2 Lot # 3 Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not inducting basement) NSA Total Garage Sq Ft
Residential Sq Ft Comm9 Sq Ft # of Stories Bldg Height # Dwelling Units _
1 a Floor Sq Ft 2nd Floor Sq Ft 3i0 Floor Sq Ft Unfiished Bsmt Sq Ft J(�Y Jj
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths '/4 Baths_. '/, Baths # of Fireplaces
Air Conditioning: YeGo0 Energy info: ( Circle appropriate choice ) 1. Com Check 2. ResCheck w/Air Sealing ❑
3. ResCheck w/Blower Door F]4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes FNoF Temp. Pedestal Yes❑ No ❑
Type of Heat: aGas ❑Electric Electric Main Breaker Size (Residential only) Ell50 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material & profit) $ 300000
Description of Work:
Construct 10-foot tall fence in accordance with location approved as part of Minor Amendment
(approved minor amendment attached).
Contact Name & Phone # of JOBSITE SUPERVISOR: Kent Garvin 482-7707
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 Cit of Fort Collins rdinan sand state laws regulating building construction.
Applicant Signature 1� Print Name Kent Garvin Phone
istribution: White - Office Yellow -Applicant Pink -WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE 0 3 l7kz:>