HomeMy WebLinkAbout4965 HOGAN DR - APPLICATIONS - 10/7/2016.,..Fort Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416.2740
vrwnw.fcgowcom/buildIng
BUILDING PERMIT APPLICATION
APPLICATION NUMBER b I "0 0 V 12) APPLICATION DATE I O 1 1 I 1 V
Job Site Address4965 Hogan Dr Unit #
PROPERTY OWNER INFO: (All owner information is required — it isnotoptional) Phone # %%y 31 Z 1 : � % (.P
Last name M 0(' r I S First Name i—a t.) r t e— Middle _Z
Street Address —rCl(ptS jjo01cLvi C' Cily � t^�- ( D !�f /1 S State CO Zip
IJ
CONTRACTOR INFO: Company Name Site Solutions Contractor Phone #970-218-3390
Lic Holder Name Brian Stephenson
Mailing address 519 N Overland Trail
LEGAL INFO:
Subdivision/PUD
City of Fort Collins License # 666 Supervisor Cert #
_ City FC State CO Zip80521
Filing # Lot # Block # Lot Sq Ft
C00-5—IRMC1ION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1" Floor Sq Ft
214 Floor Sq Ft
31' Floor Sq Ft
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft # of Bedrooms _# of Full Baths % Baths 'Y2 Baths # of Fireplaces
Air Conditioning: Ye�' ]Non Energy info:( Circle appropriate choice) 1 _ ComCheck 2. ResCheck w/Air Sealing E
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Alternative11 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 Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: D Gas nElectric Electric Main Breaker Size (Residential only) 1:1150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ ' LV
Description of Work:
Install 1 5'x4' Basement egress window per code and engineer letter
Contact Name & Phone # of JOBSITE SUPERVISOR:
Subc00tractor 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.
Applicant Signature Print Name Phone
Distribution: White — Office Yellow — Applicant Pink —WWW/Stonnwater
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