HomeMy WebLinkAbout1921 Charles Brockman Dr - Applications/Single Family New - 09/15/2017City of I I COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�t Collins 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING PERMIT APPLICATION
APPLICATION NUMBER' v S APPLICATION DATE H S
Job Site Address
1921 Charles Brockman Drive Unit #
PROPERTY OWNER INFO (All owner information is required -it is not optional) Phone #_
Last name LC Home First Name at Spring Creek, LLC
970-667-7000
Middle
Street Address 1712 Topaz Drive city Loveland State CO Zip 80537
CONTRACTOR INFO Company Name LC Home at Spring Creek Contractor Phone # 970-786-5703
Lic Holder Name Caleb Carlson City of Fort Collins License # TBD Supervisor Cert #
Mailing Address 1712 Topaz Drive City Loveland State CO Zip 80537
LEGAL INFO:
Subdivision/PUD Spring Creek Farms North Fling # 4 Lot # 1 Block # 5 Lot Sq Ft 5514
CONSTRUCTION INFO: Total Building Sq Ft (not including basement) 1 776
Total Garage Sq Ft 484
Residential Sq Ft 2707 Comm'I Sq Ft # of Stories 2 Bldg Height 29 8 " # Dwelling Units
1s' Floor Sq Ft 893
2nd Floor Sq Ft 1113
3" Floor Sq Ft 0
Unfiished Bsmt Sq Ft 192
Finished Bsmt Sq Ft 701 # of Bedrooms 3 # of Full Baths 2 % Baths /z Baths 1 # of Fireplaces
Air Conditioning Ye✓ Non Energy info ( Circle appropriate choice ) 1 ComCheck 1]2 ResCheck w/Air Sealing
11
3 ResCheck w/Blower Door ❑4 Simulated Performance Alternative 5 Prescriptive w/Air Sealing 6 Prescriptive w/ Blower Door
City of Fort Collins Stock Plan # S PO& i q 9- List appropriate option #s 1.2.3.4.6
UTILITIES INFO
Water Tap Size 3/4" Sewer Tap Size 4" Metered Yes �✓ No❑ Temp Pedestal Yes❑ No ❑
Type of Heat Fv] Gas Electric Electric Main Breaker Size (Residential only) Z150 Amp or Less ❑ 200 Amp Other
Value of Construction (including labor, material & profit) $ 238,690.
Description of Work
Winter Park A/B-38-177618 3 bed, upper level, fireplace, finished basement
/1 e., f c-� ,J 12),
Contact Name & Phone # of JOBSITE SUPERVISOR. Caleb Carlson 970-786-5703
Subcontractor Info:
Electrical Tylo Electric
Framer NC Builders
Solar
Mechanical Ft Collins Heating & Air Plumbing Aggie Plumbing
Roofing Golds Roofing Concrete
Vargas Concrete Fireplace Western Fireplace
Other
Applicant I hereby acknowledge that I ha r a is application and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fort Colld a es and state laws regulating budding construction
Applicant Signature Print Name Nick Galluzzo Phone 720-297-4203
vstr
on White —Office Yellow —Applicant Pink —WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE