HomeMy WebLinkAbout6802 NIMITZ DR - APPLICATIONS - 8/27/2009BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760
www.fcgov.com/building
City ofFortCollins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 05221 APPLICATION DATEl
Job Site Address (_"_ n'\t rn i }Z E `A c C Unit # C /U l - /0 y
PROPERTY OWNER INFO: (All owner information is required — it is not optional) Phone #
Last Name First Name_ Middle
Street Address City
State Zip
CONTRACTOR INFO: Company Name CG_r i ho ie) (oyl 5 Prvt;flor, Contractor Phone # .'�o3- qUY- Q- y6 6
Lic. Holder Name C oe'k-P City of Fort Collins License # Supervisor Cert #
Mailing Address City_R' C4114r g State Co Zip'K(jn?
LEGAL INFO: J 7 Z�- V
Subdivision/PUD R1-r y Ki a !�e- PUQ 2n� Filing # 2 Lot # Block # Lot Sq Ft 901WO
CONSTRUCTION INFO: pTotal Building Sq Ft (not including basement) C1�1 a Total Garage Sq Ft
Residential Sq Ft, �� 0 Comm'I Sq Ft # of Stories Bldg HeightV° J# Dwelling Units
4 1st Floor Sq Ft , 1M 2nd Floor Sq Ft ) i Unfinished Bsmt Sq Ft '3) igID(,O Finished Bsmt Sq Ft rI
# of Bedrooms # of Full Baths 3/4 Baths '/2 Baths # of Fireplaces `*
Air Conditioning: es No Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door O-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door
City of Fort Collins Stock Plan # List appropriate option #s r)C {L; d n S 6 -f-C
UTILITIES INFO: 1-1(OLP
Water Tap Size Z Sewer Tap Size Metered: e)or No Temp. Pedestal: es or No
Type of Heat: XGas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp *ther
Value of Construction (including labor, material & profit) $_�Q l(/�a 1U ` 1`
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Contact Name &Phone # of JOBSITE SUPERVISOR:
Subcontractor Info:
Electricali'-"�C- Mechanical Sdy�o� d tA_),' (c5 Ifh PlumbingS±IL1 P/ombin-5
Framer - Le- to Roofing Concrete SfYjcJS C-6ncrix k- .Other
Applicant: I hereby acknowle e �at I ave read th' application and sta4 that the above information is correct and agree to comply with all requirements
contained herein and City rt Colli ordinance tate laws regulating building ffconstruction.
Applicant Signatur Print Name IJ-Zte—L r�wlb Phoneme]-7U•309 - q8y�
Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE