HomeMy WebLinkAbout3230 GUNNISON DR - APPLICATIONS - 8/25/2011City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins 281 N. College Ave. - Fort Collins, CO 80524 - Phone: 970-416-2740
www fogawcom/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER l..J l \ APPLICATION DATE
tr h t r E r-ru r i n :; r; r N 'i
Job Site Address ,�02 �U ��i�,�zSOjcJ �ii�c�r.. Unit # II�
SEP 0 6 2011
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -'
Last name S i'✓ First Name Middle
2i 3y �' l/il/,�/�SO.v /�l r�GG1-ems state
Street Address .Zip U
CONTRACTOR INFO: Company Name ,� iy/C l Contractor Phone
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Lic Holder Name City of Fort Collins License #.1'�s'v Supervisor Cert #�"
Mailing Address 7CJ Z� C City. 'o_ State ZQe Zips
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sy Ft
CONSTRUCTION INFO: Total Building Sq Ft (not induding basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stones Bldg Height # Dwelling Units
Is' Floor Sq Ft
2nd Floor Sq Ft
31' Floor Sq Ft Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms # of Full Baths % Baths /. Baths # of Fireplaces
Air Conditioning: YeflNon Energy info:( Circle appropriate choice) 1. ComCheck [-]' ' Z.' ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative❑ 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Doofa
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 11
Type of Heat: FlGas Electric Electric Main Breaker Size (Residential only) F]150 Amp or Less ❑ 200 Amp DOther
Value of Construction (including labor, material .& profit) $ CJ
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: ZG%�/
Subc n ct r of
Electrical 11;0�4Zffi,9�I"echanicaI
Framer
Solar
Roofing
Other
Concrete
Z
Plumbing
Fireplace
Other w. 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 ordin noes and state laws regulating building construction.
Applicant Signature Print Nam R�Z�,�Phone
Distribution: White - Office Yellow- Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE