HomeMy WebLinkAbout6802 NIMITZ DR - APPLICATIONS - 10/21/2009IWYL-13
BUILDING PERMITS & INSPECTIONS DIVISION
P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 (/
MUM I& www.fcgov.com/building
CityofFort Collins BUILDING PERMIT APPLICATION
APPLICATION NUMBER 6 v `mot E / l,F' U V i APPLICATION DATE ' 0. 0 I ' 0 r4
Job Site Address i28()Q fl)m f+z ,J)r Unit # D101- log
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone #
Last Name First Name Middle
Street Address City
State
CONTRACTOR INFO: Company Name L) CySYOC�t can Contractor Phone # 303 - qOZJ- a q(oa
Lic. Holder Name � cmy p _ City of Fort Collins License # Supervisor Cert #
Mailing Address 119541 �res(bn v,Blvd City State Cd zip Y003J
LEGAL INFO:
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Subdivision/PUD �15�t �j[AQ_2h C1 QQA Filing # Z Lot # Block # Lot Sq Ft ZOi� O
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft g%oL
Residential Sq Ft (p4lga Comm'] Sq Ft # of Stories Z Bldg Height ?�� # Dwelling Units
I s1 Floor Sq Ft 2nd Floor Sq Ft / 70 2 Unfinished Bsmt Sq Ft�Oa Finished Bsmt Sq Ft
# of Bedrooms # of Full Baths _ ? '/. Baths Yz Baths �_ # of Fireplaces
Air Conditioning: (Ted 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 # J _76 to List appropriate option #s Op H ON .5 is
UTILITIES INFO:
!I r,
Water Tap Size Sewer Tap Size Metered: es or No Temp. Pedestal: 0 or No
Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp XOther
00
Value of Construction (including labor, material & profit) $ (p(o / , 1 (P `j .
Description of Work:
Contact Name & Phone # of JOBSITE SUPERVISOR: P%eA Ctx Q— G 1 c-) -319 - !L -I L
Subcontractor Info:
Electrical' WQSLJA all-WV\L Mechanical StNllU..N (,.y%Ikys Fi}A Plumbing9AY1G0 Plumbincp
Framer E Roofing V-r 9ZONIcT Concretef'rj(WJtS Other
Applicant: I hereby acknowle e i at I ave read his application ands to that the above information is correct and agree to comply with all requirements
contained herein and City of rt Coll' s o ina sand state laws regulating building construction. '/ �j�
Applicant Signatur - Print Name ,1}e.ItcL t!�96 Phone910`369-y9'gJ
Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE