HomeMy WebLinkAbout4615 HOGAN DR - APPLICATIONS - 4/7/2017City
}of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For ` Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER ' ! V l \> �/ APPLICATION DATE 4/7/17
Job Site Address 4615 Hogan Dr.
Unit #
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone # 970.416.2871
Last name NUCkOIS First Name Gary Middle
Street Address 102 Remington St. City Fort Collins State CO Zip 80524
CONTRACTOR INFO: Company Name Brinkman Construction
Lic Holder Name
Contractor Phone # 970-567-0932
City of Fort Collins License # Supervisor Cert #
Mailing Address 3528 Precision Dr. Ste. 100 City Fort Collins State CO Zip 80528
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft
1s' Floor Sq Ft
Finished Bsmt Sq Ft
Comm'I Sq Ft 200 # of Stories 1 Bldg Height # Dwelling Units
2nd Floor Sq Ft
3'd Floor Sq Ft
Unfiished Bsmt Sq Ft
# of Bedrooms # of Full Baths % Baths Y2 Baths # of Fireplaces
Air Conditioning- YeGo0 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 #
UTILITIES INFO:
List appropriate option
Water Tap Size Sewer Tap Size Metered: Yes []No[] Temp. Pedestal Yes❑ No 0
Type of Heat ❑ Gas Electric Electric Main Breaker Size (Residential only) r150 Amp or Less 11 200 Amp 0Other
Value of Construction (including labor, material & profit) $ / Sn" e4r)
Description of We
Kitchen remodel
Contact Name & Phone # of JOBSITE SUPERVISOR: Mike Rice 970-566-2365
Subcontractor Info:
Electrical Gregory Elec
Framer Holsinger Drywall Roofing
Solar
Other
Mechanical Air Comfort
Concrete
Other
Plumbing Corman Mechanical
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 Name Matt Matheson Phone 970-567-0932
Distribution White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 1R0 DAYS FROM APPLICATION DOTE