HomeMy WebLinkAbout1015 Nightingale Dr - Applications/Basement Finish - 02/28/2006BUILDING PERMITS & INSPECTIONS DIVISION
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P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City of Fort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER v I APPLICATION DATEa�&g 10(0
Job Site Address (OIS A,#�C640& :Dn✓c Tor�UA;^/ O &VrUnip
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PROPERTY OWNER INFO: (All owner Information is required - it is not optional) Phone # 170 . !q 72 • 9234
Last Name_ G j�i(EST1�iT5 �.1L First Name �-` ` Middle
Street Address b�rj �; a� y�� ��/ pp City ram. (p,1}� State CD zip $ as 7
CONTRACTOR INFO: Company Name BKU ENTERM ISES Contractor Phone
f VA
Lic. Holder Nam ) PE City of Fort Collins License # Supervisor Cert #
Mailing Address _P-0, BOAC 3368&S CityG—kEELEY State (So
LEGAL INFO:
Subdivision/PUD
CONSTRUCTION INFO: Total Building Sq Ft (not including basement
Residential Sq Ft Comml Sq Ft
1st Floor Sq Ft 2nd Floor Sq Ft
# of Bedrooms
Air Conditioning: Yes No
3. ResCheck w/Blower Door
City of Fort Collins Stock Plan #
UTILITIES INFO:
# of Full Baths
Filing # Lot # Block # Lot Sq Ft
Total Garage Sq Ft
# of Stories Bldg Height # Dwelling Units
_ Unfinished Bsmt Sq Ft 10H Finished Bsmt Sq Ft 75
_ % Baths '/z Baths # of Fireplaces
Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
List appropriate option #s,
Water Tap Size Sewer Tap Size Metered: Yes or No Temp. Pedestal: Yes or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residen ' I only): ❑ 150 Amp or Less Q 200 Amp ❑ Other
Value of Construction (including labor, material & profit) $--ql,_ODD p
-5 . &:% , .ST17
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: �ir,1 - 970'S 3
Subcontractor Info:
Electrical OVERLOOK GLECTKC Mechan' I N Fp R, ZONE- lAY NTLEY PL ti
� •' � Plumbing U 1 �3 1t�lG
Framer ing Concrete. Other
Applicant: I hereby acknow�F�rtfolltinl
�hatave rea this pH tion '~ t th .,above information is correct and agree to comply with all requirements
contained herein and City ordinan es ,s laws regulating "building construction.
Applicant Signature / Print Name Phone
Distribution: VT hite — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICA#ON EXPIRES 90 DAYS FROM APPLICATION DATE