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HomeMy WebLinkAbout6802 NIMITZ DR - APPLICATIONS - 11/19/2008BUILDING PERMITS & INSPECTIONS DIVISION � l P.O. Box 580 •Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City ofFortCollins BUILDING PERMIT APPLICATION APPLICATION NUMBER V go / ! © � APPLICATION DATE Job Site Address,GEOD- N%milr Di' R \&! Unit# Z 1pt - PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 3 os - g0e-1 - Last Name First Name '�'CZC\ Middle Street Address \\5359 dPl (IMuA City R_M I rnSLcC State(:�oZip CONTRACTOR INFO: Company Name `.,r►YJdt �(OnS�f'c�c-(c�✓1 Contractor Phone # Lic. Holder Name �,(`Q,d ern IG,P_ City of Fort Collins License # IC(OSupervisor Cert # Z755 - Ca Mailing Address \\$Sy�c.Ablit r) & VCk' City LJ S6rn ( etS�U StateC' o Zip (DOI I LEGAL INFO: Subdivision/PUDFiling # /� Lot # Block # Lot Sq Ft CONSTRUCTION INFO: Total Building Sq Ft (not including basement) lD sa Total Garage Sq Ft Residential Sq Ft �y %� Comm'I Sq Ft # of StoriesCq_� Bldg Height ->� # Dwelling Units _ 15i Floor Sq Ft k4-7 $U 2nd Floor Sq Ft 1 0 Unfinished Bsmt Sq Ft 39 0Ca_ Finished Bsmt Sq Ft # of Bedrooms 10 # of Full Baths '/4 Baths '/2 Baths # of Fireplaces Air Conditioning: Qe No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door City of Fort Collins Stock Plan # _ 17 ((0 List appropriate option #s QjkC Q� (, _ '� (�� L LA Q + C_ UTILITIES INFO: I It r, Water Tap Size I2 Sewer Tap Size Metered: Yes or No Temp. Pedestal: es or No Type of Heat: Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 2000 Amp ❑/Other Value of Construction (including labor, material & profit) $ s3 . (oH -1 IU Description of Work: Cltup rfnfvs0 i - n' k S Contact Name & Phone # of JOBSITE SUPERVISOR: 9516 ��eA CQnQ_ SO 1 90(4 - 7 4(a b Subcontractor Info: M , s; Electrical Mechanical (_ Plumbing � CO k1jMbt Framer Im inq Roofing Ay 1_ . -T Concrete S t^tv5 rntlCOther Applicant: I hereby ackn dge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and y Fort ll'ns or i n es and state laws regulating building construction. Applicant Signature Print Name Dex(,, L Cols _ffo Phone G70" - y$ yam' Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater THS APPUCATA OH EXPRES 90 DAMS FROM APPUCAT�ON DATE