HomeMy WebLinkAbout4480 FOX GROVE DR - APPLICATIONS - 2/14/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
_F6rt Collins`281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970-416-2740
www.fcgov.com/building
BUILDING! PERMIT APPLICATION
APPLICATION NUMBER r `� O� ` APPLICATION DATE 15247�2e1 8
Job Site Address 4480 Fox Grove Dr
Unit #
PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # 970-667-7000 X 105
Last n--- LC Home M'1ddl
Street Address 1712 Topaz Drive
CONTRACTOR INFO: Company Name
Lic Holder Name Nick Galluzzo
Mailing Address 1712 Topaz Drive
FIrSt Name e
city Loveland State CO zip 80537
LC Home at Fox Grove ! Contractor Phone # 720-297-4203
City of
LEGAL INFO:
Subdivision/PUD Fox Grove Subdivision Filing
CONSTRUCTION INFO: Total Building Sq Ft (not including basement)_
Residential Sq Ft 2261 Comm'I Sq Ft - # of
1" Floor Sq Ft 1052
Finished Bsmt Sq Ft
2nd Floor Sq Ft 1209
3'd
Collins License # D-759 Supervisor Cert # 4145-D
(eland State CO zip 80537
Lot # 21 Block # 1 Lot Sq Ft 11,370
Total Garage Sq Ft 593
2 Bldg Height 28' 4" # Dwelling Units 1
Sq Ft NA
Unfiished Bsmt Sq Ft 902
# of Bedrooms 3 # of Full Baths ? -/< Baths /z Baths # of Fireplaces
Air Conditioning: YeNo� 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/ Blower Door
City of Fort Collins Stock Plan # 2109 List apf
UTILITIES INFO:
Water Tap Size 3/4" Sewer Tap Size 4" Mete iec
Type of Heat: Gas Electric Electric Main Breaker Size (Resid
Value of Construction (including labor, material & profit) $ 229,868.00
Description of W(
New SFD M
option #s none
Yes F&/] Temp. Pedestal Yes❑ No ❑
ential only) 21150 Amp or Less1:1 200 Amp Other
Contact Name & Phone # of JOBSITE SUPERVISOR: Nick Galluzz6 720-297-4203
Subcontractor Info:
Electrical TBA
Mechanical TBA
Plumbing
Framer TBA Roofing TBA Concrete TBA Fireplace TBA
Solar Other
TBA Other Other
Applicant: I hereby acknowledge t e,��fd this ap I' ' and state that the above information is correct and agree to comply with all requirements
contained herein and City of Fo li or¢ nce state laws regulating building construction.
Applicant Signature �111 /,(,'f Print Name Nick Galluzzo Phone 720-297-4203
Distribution: White -Offce Yellow -Applicant Pink - WWW/Stormwater
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE