HomeMy WebLinkAbout6014 Fall Harvest Way - Applications/Single Family New - 07/26/2019�t of
(APPLICATION NUMBER:
Job Site Address 6014
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. o Fort Collins, CO 90524 o Phone: 970.416.2740 c www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
II Harvest Way
APPLICATION DATE:
Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Toll Brothers First Name Middle
Street Address 10 Inverness Dr. E Suite 125 City Englewood State CO Zip 80112
Phone # 303-708-0730 Email
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name TolIC01 LLC
License Holder Name Stephen Schwarzer LIC # D-769 CERT #
LEGAL INFO:
Subdivision/PUD ICechter Farm Filing # ) Lot # 3 Block # 4 Lot Sq Ft 6,900
CONSTRUCTION INFO: Total Building Sq Ft (NOT including basement) 3,618 Total Garage Sq. Ft. 451
Residential Sq Ft 3,618 _Commercial Sq Ft N/A # of Stories 2 Bldg Ht 30' # of Dwelling Units 1
1st Floor Sq Ft 1,506 2nd Floor Sq Ft 2,1121 3rd Floor Sq FtN/A Unfinished Basement Sq Ft 1,776
Finished Basement Sq Ft N/A # of Bedrooms 4 # of Full Baths 3
Baths % Baths 1 # Fireplaces 1
ENERGY INFORMATION: (CHECK ONE)
ComCheck El (Simulated Performance UA (ResCheck) SPA Alternative) ❑ Prescriptive❑ ERI(Energy Rating Index) El
Air Conditioning? YES 9 NO ❑
City of Fort Collins Approved Stock Plan #_ List Option #s
UTILITIES INFO: Gas W( Electric ❑ Electric Temp. Pedestal Yes ❑/ No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp LfJ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes, please answer the following questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenant❑ New Tenant❑
If for a new tenant, is this the first tenant to occupy this space?
Yes ❑ No ❑ If not for the initial tenant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work? Yes ❑ No ❑
If yes, please describe:
Value of Construction (materials and labor): $ 383,460.35
Description of Work: Ridgeway Country Manor (Custom)
023-Expanded Family Room; 263 1 00-Partial Basement
JOBSITE SUPERVISOR CONTACT INFO: Name Brian Kel
SUBCONTRACTOR INFO: Electrical
Chadwick Electric
Phone 970-305-0474
Mechanical Ft. Collins Htq & Air
Plumbing DEMA Plumbing Framing NC Builders Roofing Advanced Roofing
Fireplace AM] Fireplace Solar
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bill 13-152, property owners, applying for a
remodel permit shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's).
❑ I do not know if an asbestos inspection has been conducted on this property.
❑ An asbestos inspection has been conducted on this property on or about (enter date)
❑ An asbestos inspection has not been conducted on this property.
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 Signature ��itta�r�ry MaY*e Type or Print Name Brittanny Markle
Phone # 970-223-4704 ext. 0 Email bross aatollbrothers com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE