HomeMy WebLinkAbout6802 NIMITZ DR - APPLICATIONS - 10/3/2014City of I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
For t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
/ wwrw.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER � � 7 D ! / .� O APPLICATION DATE
Job Site Address 6802 Nimitz Drive
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone
Last name White First Name Janice
Unit #A104
9702197474
Middle
Street Address 6802 Nimitz Drive A104 City Fort Collins State CO Zip80526
CONTRACTOR INFO: Company Name Executive Basements Contractor Phone # 9702197474
Lie Holder Name Robert Traylor
City of Fort Collins License # Supervisor Cert #
Mailing Address 5314 Moonlight Bay Drive city Windsor State Co Zip 80528
LEGAL INFO:
Subdivision/PUD 8244003000 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 \
181 Floor Sq Ft 2nd Floor Sq Ft 31 Floor Sq Ft Unfiished Bsmt Sq Ft
r
Finished Bsmt S �Ft � # of Bedrooms 1 # of Full Baths c '/< Baths t '/� Baths 0 # of Fireplaces 0
Air Conditioning: Ye�Non Energy info:( Circle appropriate choice) 1. ComCh'eck 2. ResCheck w/Air Sealing
3. ResCheck w/Blower Door ❑ 4. Simulated Performance Altemative❑ 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 [:]No[] Temp. Pedestal Yes❑ No ❑
Type of Heat: Gas Electric Electric Main Breaker Size (Residential only) ❑150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material 8 profit) $
Description of Work:
Finish one bedroom, one 3/4 bathroom, one workout room, living room area and an unfinished storage room.
Contact Name 8 Phone # of JOBSITE SUPERVISOR: Robert Traylor 970-219-7474
Subcontractor Info:
Electrical BlueLine
Framer Executive Roofing
Solar Other
Mechanical n/a
Concrete
Other
Plumbing Covenant
Fireplace
Other
Applicant: I hereby acknowledge that I have read this,application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant
Print Name Robert Traylor Phone 970-219-7474
Distribution: White -Office Yellow -Applicant Pink - WWW/Stonnwater
THIS APPLarOATH® § EXPORES: 180 DAYS FROM APPLI1taAT1lQ I' ®A7E