HomeMy WebLinkAbout4615 HOGAN DR - APPLICATIONS - 12/19/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
/ www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER b I �:j 12 R 9 WSJ APPLICATION DATE 1,911o419
,9IoI1`I
Job Site Address 4615 Hogan Drive, Fort Collins 80525 Unit #
PROPERTY OWNER INFO: (All owner information is required- it is not optional) Phone # 970-416-2891
Last name Poudre Fire Authority First Name Gary NUCkols Middle
Street Address 102 Remington Street City Fort Collins State CO Zip80524
CONTRACTOR INFO: Company Name
Lic Holder Name
Mailing
LEGAL INFO:
subdivision/PUDFairway Estates
TBD - Out for Bid
CONSTRUCTION INFO: Total Building Sq Ft (not including
Contractor Phone
City of Fort Collins License # Supervisor Cert #
City
State Zip
Filing # Lot # 90 Block # Lot Sq Ft 7,692 SF
N/A Telecom Tower Total Garage Sq Ft N/A
Residential Sq Ft N/A Comm'I Sq Ft N/A # of Stories N/A Bldg Height N/A # Dwelling Units N/A
1s' Floor Sq Ft N/A
2ntl Floor Sq Ft N/A
3° Floor Sq Ft N/A Unfiished Bsmt Sq Ft N/A
Finished Bsmt Sq Ft N/A # of Bedrooms N/A # of Full Baths N/A % Baths N/A '/z Baths N/A # of Fireplaces N/A
Air Conditioning: YerNon Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing 11
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 #
List appropriate option #s
UTILITIES INFO:
Water Tap Size N/A Sewer Tap Size N/A Metered: Yes 0No17 Temp. Pedestal Yes❑ No W1
Type of Heat: ❑ Gas Electric Electric Main Breaker Size (Residential only) 11150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 3,500.00
Description of Work:
Remove and Replacing (3) existing panel antennas with (3) new panel antennas
Install (3) new Remote Radio Unites (RRU's), inside existing leased area
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electrical _ N/A
Mechanical _ N/A
Framer N/A Roofing N/A
Solar N/A
Other
Plumbing N/A
Concrete N/A Fireplace N/A
Other
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 SignatureJ7/_�s Print Name Kristen Weaver Phone 720-413-9215
kweaver@centerlinesolutions.com
Distribution: White - Office Yellow - Applicant Pink -VWWV/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE