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HomeMy WebLinkAbout5021 Brookfield Dr - Applications/Garage - 04/12/2013City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740 www.fcgov.com/building BUILDING PERMIT APPLICATION APPLICATION NUMBER b t ✓0 1 ` ✓ U APPLICATION DATE04/12/1 3 .lob Site Address5021 Brookfield Drive, Fort Collins Unit #,-- - pi E PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970-460-0567 O Last name Morningside Communities, IIC First Name Middle Street Address 1170 West Ash Street, Ste 100 City Windsor Co 80550 U CONTRACTOR INFO: Company Name Landmark Construction Solutions, Inc Lic Holder Name Jonathan Mosier Mailing Address 1170 West Ash Street, Ste 100 LEGAL INFO: Contractor Phone _ State Zlp 970-460-0567 , City of Fort Collins License r1C2-1 02 Supervisor Cent # 2605-C2 _ CityWindsor StateCo Zip80550 Subdivision/PUDBrookf*eld Tract B Filing # Envelope #13 Lot# Block# Lot Sol Ft12,845 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) Total Garage Sq Ftl , Residential Sq F( ---' Comml Sq Ft na # of Stories - Bldg Height! # Dwelling units 1 t 191 Floor Sq Ff -- 2nd Floor Sq Ft( — —' 3r° Floor Sq Ft na Unfiished Bsmt Sq Ft n/a Finished Bsmt Sq Ft n/a # of Bedrooms # of Full Baths 3/4 Baths /3 Baths {- # of Fireplaces Air Conditioning: ©e No Energy info: ( Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 3. ResCheck w/Blower Door 4. Simulated Performance Alternative 5. Prescriptive w/Air Sealing 6. Prescriptive w/ Blowerppgt�� City of Fort Collins Stock Plan # List appropriate option #s; _ _ _ _ / I Del,cc�J UTILITIES INFO: Water Tap Size1.5 I�L Sewer Tap Size 4 Metered: Yes[]No R1 Temp. Pedestal Yes R1NNIo, ❑ Type of Heat: Ras ' Electric Electric Main Breaker``Siy Uze (Residential only) 50 Amp or Less D00 Amp I ther Value of Construction (including labor, material & profit) $ iz�T�! �.1 D ( t- t Description of � Contact Name & Phone # of OBSITE SUPERVISOR: Bob BreX - 970-567-3141 Subcontractor Info: Electrical Del anys Framer Brookline Solarna Mechanical Front Range Mountain Air Plumbing Colorado Plumbing Roofing Elite Concrete• G B C Fireplace Western Fireplace Other Other 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 oto laws regulating building construction. Applicant Signature_ Print Namejon Mosier Phone 970-460-0567 Distribution: White — Office Yellow — Applicant Pink — WWW/Stormwater THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE