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HomeMy WebLinkAbout6826 Nimitz Dr - Applications/Multi Family New - 11/28/2012City of II COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES For t Collins 281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760 www.fcgov.com/building r� BUILDING PERMIT APPLICATION APPLICATION NUMBER v ' /.._.y� I Q2- APPLICATION DATE 1 `l I I)L— Job Site Unit #Fi'ib1.l-[,fl_1�3 F}`10�F PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 303 584-19 6(p Last name j 1 j 1 VIP 1 le_ First Name ?lobe 1 1 Middle t' Street Address l� Pf eJ�li)l C �. 1yQL1 I City oLRP l��'e, StateXZip1,��i_� CONTRACTOR INFO: Company Name I ofir", Cbm%itru db6 IVIC. Contractor Phone # 9TD-399 _.-� M Lic Holder Name Raj coo ICe -��q City of Fort Collins License #CQ-13L� Supervisor Cert # Mailing Address55N W. LI VICO114 Rye *JCJ 1 CityLoVelCu&d State CD ZiAQ53% LEGAL INFO: (p� 11 S4�LfL�lOV1 .� Subdivision/PUD V'& 4 P1VdC2 Filing # L Lot # Block # Lot Sq F C CONSTRUCTION INFO: Total Building Sq Ft (not including basement) k, {sa `,`p Total Garage Sq Ft 52 L Residential Sq Ft(PAA"_ Comm'I Sq Ft # of Stories Bldg Height_3(V # Dwelling Units 1s' Floor Sq Ft �Q!Kn 2n° Floor Sq Ft J,]Q4 3r° Floor Sq Ft Unfiished Bsmt Sq Ft � Finished Bsmt S Ft # of Bedrooms # of Full Baths u q � � V '/. Baths � '/: Baths � # of Fireplaces Air Conditioning: /Yell No Energy info: ( Circle appropriate choice ) 1. ComCheck 2. ResCheck w/Air Sealing ©3 ResCheck w/Blolweerr Door 0Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door City of Fort Collins Stock Plan # "tt7 n vP UTILITIES INFO: � 11 Water Tap Size _ a Sewer Tap Size List appropriate option #s Metered:(9 or No Temp. Pedesta Ye or No Type of Heal: xGas ❑ Electric Electric Main Breaker Size (Residential only) Contact Name & Phone # of JOBSITE SUPERVISOR: Subcontractor Info: L, `I 11 j� J �r 1 •1.. Electrical JIJ 15001� � i1� MechanicalIOUCIre U1111e4 Air /' Plumbing i ll (,lam �` L1Ci Frame f. Roofing Concrete 51r101JS IOViCf-i' Fireplace Solar Other Other Other ❑ 150 Amp or Less ❑ 200 Amp XOther Applicant: I hereby acknowledge that I haver d this application and state that the above information is correct and agree to comply with all requirements contained herein and r�1L,1� ���/l ' tins ord a ces and state laws regulating building construction. Applicant Signature/A/ � Print Name 1 Y eA Cooke Phone i0 -Y b / 19 Distribution: White -Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE