HomeMy WebLinkAbout6802 NIMITZ DR - APPLICATIONS - 5/29/2012City of COMMUNITY DEVELOPMENT & N®GHBORHOOD SE
Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.corn/buIldIng
BUILDING PERMIT APPLICATION
APPLICATION NUMBER I� �b t APPLICATION DATE"�-
Job Site Address6802 Nimitz Drive B103 Unit #
PROPERTY OWNER INFO: (All owner Information Is required- it Is not optional) Phone #
Last name Franklin First Name Glen Middle
Street Address 6802 Nimitz Drive B103 cif Fort Collins State CO Zip 80526
CONTRACTOR INFO: Company Name Executive Basements Contractor Phone # 970-219-7474
Lic Holder Name Robert Traylor City of Fort Collins License # Supervisor Cert #
Mailing Address 5314 Moonlight Bay Drive city Windsor State Co zip 80528
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ft
Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units
1� Floor Sq Ft
2nd Floor Sq Ft
3" Floor Sq
Unfiished Bsmt Sq Ft
Finished Bsmt Sq Ft 642 # of Bedrooms 0 # of Full Baths % Baths '/2 Baths 1 # of Fireplaces
Air Conditioning: YeGo0 Energy info:( Circle appropriate choice) 1. ComCheck 2. ResChectc w/Air Sealing 11
3. ResCheck wBlower Door ❑ 4. Simulated Performance Alternative[] 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan #
List appropriate option
UTILITIES INFO:
Water Tap Size Sewer Tap Size Metered: Yes ❑NoF Temp. Pedestal Yes❑ No ❑
Type of Heat:11 Gas ❑Electric Electric Main Breaker Size (Residential only) F-1150 Amp or Less ❑ 200 Amp 0Other
Value of Construction (including labor, material & profit) $ 10,000.00
Description of Work:
Finishing 1 large room with 1/2 bathroom and unfinished storage.
Contact Name & Phone # of JOBSITE SUPERVISOR: Robert Traylor
Electrical Gillen Wiring Mechanical
Framer Executive Roofing
Solar
Other
Concrete
Other
Plumbing Monahan Plumbing
Fireplace
Other
Applicant: I hereby admowledg tat I h e read this application and state that the above information is oorect and agree to comply with all requirements
contained herein and City of it
''ns inances and state laws regulating building construction.
Applicant Signature 1 _ Print Name Robert Traylor Phone 970 2197474
fribution: White — Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION) DATE