HomeMy WebLinkAbout6802 NIMITZ DR - APPLICATIONS - 12/22/2011COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
s
APPLICATION
Job Site Address
281 N. College Ave. • Fort Collins, CO 80522-0580 • Phone: 970-221-6760
www.fcgov corn/building
BUILDING PERMIT APPLICATION ✓����
PROPERTY OWNER INFO: (All owner information is required— it'44s not
i r /1 I I I i- l 6
Last
Street
rl cri, �a 111
to -
DATE
�— Unit #-U.10 I/_V
Phone # 170 3:19 7(I 6
DUILC' Middle,
StateC, 0 ZipSj.�
CONTRACTOR INFO: Company Name L,0T_CQL I V UL I IOY LM Contractor Phone # I Tt' ) ) I *-L!Q_ 2
Lic Holder Name wQI�(^� City of Fort Collins License # Supervisor Cert #
Mailing Address City S i Ii State Zip
LEGALINFO:
First
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft�
ONSTRUCTION INFO: Total uilding Sq Ft (not including basement)_ I'7 Total Garage Sq Ft ra
Residential Sq F Comm'I Sq Ft # of Stories Bldg Height3 160 # Dwelling Units_
1 s' Floor Sq Ft 2nd Floor Sq Ft ITS 3'd Floor Sq Ft Unfiished Bsmt Sq Ft 3�Dto_
Finished Bsmt Sq Ft # of Bedrooms �)_ # of Full Baths '/< Baths J_ '/z Baths C�?_ # of Fireplaces
Air Conditioning: Yes No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing
esCheck w/Blower Door %4.. ,-immulated Performance Alternative 5. Prescriptive w/Air Sealing 6.. Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # 1 List appropriate option #s iQiAS � 1 l
UTILITIES INFO:
fl
Water Tap Size
Sewer Tap Size Metere Yes or No Temp. Pedestal Ye or No
Type of Heat:'KGas ❑ Electric
Electric Main Breaker Size (Residential only) ❑ 150 Amp or Less ❑ 200 Amp NOther
Value of Construction (including labor, material 8 profit) $
Contact Name 8 Phone # of JOBSITE SUPERVISOR:
Subcontractor Info: I
Electrical _ I Wl QSO A L, 1:1 y (c Mechanical Po(A e a -we Plumbing Q� V (C LW1 b� Yi
a
Framer ' 1VQV1l Roofing 'Fl ) I Concrete S05 COhO Chreplace
Solar Other Other Other
Applicant: I hereby ackn e that I have read jpi application and state that the above information is correct and agree to comply with all requirements
contained herein and C' o? 1'rts3grdina es a d state laws regulating building construction. Q/
Applicant Signature 1, Print Name f-f-,m e Phone9 77 0 3 n -76 /tp
Distribution: White - Office Yellow - Applicant Pink - WWW/Stormwater FF ( i 15• (40
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Cite of Fort Collins
MODEL NAME:
APPLICANT NAME:
BUILDER:
BUILDER ADDRESS:
Planning, Development and Transportation Services
Neighborhood and Building Services
MULTI -FAMILY RESIDENTIAL STOCK PLAN APPLICATION
STOCK PLAN #��
EiDi E D C�QQ 1)E_: DATE SUBMITTED
LICENSE #:
BUILDER PHONE: FAX:
3 hereby request that the attached plans be reviewed for compliance to all City of Fort Collins codes to be used as a stock plan on
subsequent building permits. I understand that each permit application must specify this stock plan number with any options listed
herein as being used for actual of said residence and any deviation from this plan not otherwise authorized will void the permit.
APPLICANT SIGNATURE
MODEL NAME & BUILDER DESIGN
AREAS SQ.
FT.: LIVING SPACE:
.GARAGE:
ESTIMATED COSTS (LABOR, MATERIALS, PROFIT):
VALUATION CHECK (OFFICE USE ONLY):
DATE:
UNFIN BSMT:
0 tion#r
Description
S . footage
Estimate costs (Labor,
materials, profit)
Valuation check (office use only)
PLAN REVIEW DATA (OFFICE USE ONLY):
CODES REVIEWED UNDER:
200!3
CONSTRUCTION TYPE:
\IEj
STORIES:
(- Z
BUILDING HEIGHT:
OCCUPANCY 1:
�—
OCCUPANCY 2:
C.I
CONSTRUCTION 1:
g
CONSTRUCTION 2:_
OCCUPANT LOAD1:
OCCUPANT LOAD2:
SPRINKLER: � YES NO � 3 D
ENERGY CODE COMPLIANCE: PRESCRIPTIVE
LICENSED •R •
FIRE CONTAINMENT:
OCCUPANCY SEPARATION:
OCCUPANCY SEP RATING:
DWELLING UNIT SEPARATIONS:
RATED CORRIDORS:
AREA SEP WALL:
YES NO
AYES NO
LOCATION ON PROPERTY PROTECTION:
LOCATION ON PROP RATING:
YARD AREA INCREASE: YES NO
SPRINKLER AREA INCREASE: YES NO
MULTI STORY INCREASE: YES NO
RES-CHECK ENERGY RATING
2