HomeMy WebLinkAbout6407 Buchanan St - Permits/Basement Finish - 02/04/2021City O1 Community Development & Neighborhood Services
Fort Collins 281N.Co1legeAve Fort Collins, C08o522
970.221.676o 970.224.6134 -fax
Building Permit #: B2100878
Issued Full: 02/04/2021
Permit Type: Basement Finish
Site Address: 6407 BUCHANAN ST
Job Valuation: $10,000.00 Category: Residential Remodel
Owner: BORUNDA NOE/HORTENSIA
6407 BUCHANAN ST
FORT COLLINS, CO 80525
Phone: 970-567-2980
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: 0
# of stories: _
Fire Sprklr:
Contractor:
Com sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: Block*
Ind sq ft:
Const Type: _
Stock plan options:
License #:
Phone:
Basement sq ft: 782
Supervisor cert#:
Subcontractor(s) Phone License Number
Work Description: Basement finish of 782 sf to include living area and 314 bathroom. Homeowner affidavit on file.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 201 204 203 302 102 205 200 202 207 303 301 300
TOTAL FEES PAID AS OF 02104/21: $387.50 Payment method: Cash
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit,1 hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the property described herein.
1 agree to comply with all the requirements contained herein, and City ordinances, and State laws associated Wth such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Fonn Revised Oct 2010
of
F,161%
rt Collins
Site Address: 6407 BUCHANAN ST
Job Valuation: $10,000.00 Category:
Transactions
Method Check Number Date Paid
Cash 02/04/2021
Receipt issued: 02/04/2021 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee - $155 1000.422010
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2100878
Issued Full: 02/04/2021
Permit Type: Basement Finish
Residential Remodel
Amount Paid Comments
$387.50 Paid 400 - change given 12.50
$387.50
Fee Amount
Amount Paid
$192.50
$192.50
$40.00
$40.00
$155.00
$155.00
TOTAL FEES: $387.50 $387.50
Date Paid
Amount Due
02/04/2021
$0.00
02/04/2021
$0.00
02/04/2021
$0.00
$0.00
TOTAL BALANCE DUE AS OF 02104/2021:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
ort COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
�F�Collins .
281 N. College Ave. •Fort Collins, CO 80524 •Phone: 970.416.2740 • iniww.fceov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
APPLICATION NUMBER: APPLICATION DATE:
Job Site Address logo%,rf�,�o,�-,w, ,s�, �,if �o/j;S G� J�o$Z$ Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name First Name !f/o F Middle
Street Address 6tja7 S7l City For`r State Co Zip k�$Z$
Phone # &7oJ 66 7 — Z 990 Email �vycm„�La• CohGyc fc�9y�y..1 /. C v i.-,
Name Of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name
License Holder Name
LEGAL INFO:
LIC# CERT#
Subdivision/PUD Filing # Lot # Block # Lot Sq F,t
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Z / O e If Total Garage Sq. Ft. �,yD
Residential Sq Ft Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement'Sq Ft
Finished Basement Sq Ft of Bedrooms _ # of Full Baths
Baths A Baths e5�;51 # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
COmCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑ Prescriptive[] ERI(Energy Rating Index) ❑
Alternative)
Air Conditioning? YES ElNO 2
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑
Electric Main Breaker Size (Residential Only): 150 amp or less L" 200 Amp ❑ Other ❑
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes. alease answer the following auestions:
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): $
Description of Work:
fo—1,%4Shoh ®4,c4zS
S4Clr 0-5' 799or;'»9 o-h�L tavScboY�
.01
JOBSITE SUPERVISOR CONTACT INFO: Name Phone 107,o) 5L7-7-9k-0
SUBCONTRACTOR INFO: Electrical Mechanical
Plumbing Framing Roofing
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 forAsbestos 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 t t I have read this application and state that the above information is correct and agree to
comply with all requirements co ned herein and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signatu r' Type or Print Name /I/4F
Phone # , Y70) 547 - Z b'0 Email
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Building Services
Fort Collins
28 Box 580
VI' ` L` 1 1.7 281 N College Ave
Fort Collins, CO 80524
970-416-2740 phone 970-224-6134fax
HOMEOWNER AFFIDAVIT
I ,/// z fih/,�,doL— , as owner of record of the property located at:
C10 7 A -cS'A
the following: (please check only the one that applies):
Fort Collins, Colorado, hereby declare and attest to
OPTION 1: CONSTRUCTION OF NEW HOME
❑ lam acting on my behalf for the purpose of obtaining a building permit and personally
constructing my home. The home to be constructed is on the above property and will be my
primary residence. I have not personally constructed any other new homes in the Fort Collins
city limits within the past 24-month period.
K. PERMITTED WORK ON DETACHED SINGLE FAMILY HOME
I am acting on my behalf for the purpose of obtaining a building permit and personally
constructing an alteration or addition to my house, acting as my own general contractor. The
house to be altered is on the above property and is my personal orimary residence.
OPTION 3: PERMITED WORK ON ATTACHED SINGLE FAMILY DWELLING UNIT.
❑ 1 am acting on my behalf for the purpose of obtaining a building permit and personally constructing a non-
structural alteration to my attached single family dwelling unit. The house to be altered is my personal
primary residence. I am aware that I cannot do any structural, electrical, plumbing or mechanical work and
must hire contractors/subcontractors who are currently licensed and insured with the City of FortCollins.
I am personally performing all of the work or hiring City of Fort Collins licensed trades people, or will be continuously
supervising unpaid volunteers (see Option 3 for attached dwellings). The work is directly related to the construction of the
above referenced home.
I understand that any person(s) or agent(s) contracted to perform structural wood -framing, plumbing, HVAC, electrical
or roofing work, MUST BE licensed contractors in accordance with the regulation of the City of Fort Collins.
I understand that failure to comply with any of the above conditions may result in revocation of any permits associated
with the above Permit Application number, forfeiture of any fees that have been collected, a Stop Work Order and
potentially a court summons.
Sign in the presenc Notary Public
Owner
The foregoing Affidavit was acknowledged before me on this % s4-day of
Ir(°i (month, year) by Te-S /I,S k-et �,1f^t�//1Gt�
Witness my hand and official seal �-
My commission expires:
CORINA HARTZOG t Notary P I
Notary Public
State of Colorado
Notary ID 2017400BS48
My Commission Expires 02-27.2021
Revised 1011912020
Building Services
281 N. College Ave.
P.O. Box 580
Fort Collins, CO 80524
Voice:970.416.2740 FAX:970.224.6134
HOMEOWNER AFFIDAVIT
City of
/10` rt Collins
Homeowners of a DETACHED single-family home may personally perform and /or act as their own general contractor for any work
on their PRIMARY residence. Permit requirements are applicable. If said homeowner hires and pays anyone for work that requires a
City licensed contractor, the City licensed contractor needs to be listed on the building permit application, and will need to be current
on City license and insurance requirements before the building permit can be issued.
Homeowners of an ATTACHED single-family home (townhouse, condominium or duplex), may perform LIMITED "MINOR
ALTERATIONS AND REPAIRS" by City Code as follows:
"A building owner and any unpaid volunteers or paid workers employed by said owner who perform only minor alterations
and repairs to such building, provided that all such work is under the continuous personal supervision of said owner, and
further provided that no building owner, or unpaid volunteer or paid worker employed by said owner, may engage in the
following types of work without obtaining the appropriate contractor license. "
Furthermore, the work must be limited to minor alterations and repairs, which, DO NOT include:
1. Any alterations/installations involving, fire -resistive assemblies, alterations to primary and secondary framework; electrical,
plumbing, or mechanical systems; and replacement of more than 100 sq. ft. of roofing.
PAID WORKERS
Regardless of ownership status, paid non -owner worker(s) or contractors performing overall project supervision MUST BE A CITY
LICENSED GENERAL CONTRACTOR. Any paid specialized trades that perform any one of the following: structural wood framing,
roofing, electrical, plumbing, or HVAC, MUST BE SUB -CONTRACTORS licensed by the City.
APPLICATIONS & PENALTIES
A homeowner acting as their own "general contractor" for work on their own primary residence, must submit a notarized City
Homeowner Affidavit form to Building Services before a building permit can be issued. Failure to comply with the above conditions
can result in a "Stop Work" order on the project, permit revocation, forfeiture of fees, and a court summons.
(1) Any homeowner of an attached dwelling and any unpaid volunteers or paid workers employed by said owner who perform
only minor alterations and repairs to such building, provided that all such work is under the continuous personal supervision of
said owner, and further provided that NO homeowner of an attached dwelling. or unpaid volunteer or paid
worker employed by said owner. may engage in the following types of work without obtaining an
approRriately licensed City contractor:
(a) Alterations to the primary or secondary structural frame work (except for the repair and replacement ofexisting
window and doors, provided that such repair or replacement does not create larger openings or greater spans for
such headers);
(b) Alterations to fire -resistive assemblies as defined in the building code,
(c) Alterations to or the installation'of electrical, plumbing or mechanical systems, (except for electrical/plumbing
fixture replacement in the same location as original).
(d) Replacementlinstallation of more than a total of one (1) square (100 square feet) of roofing.
Revised 1011912020
OMZR130A LOWE'S HOME CENTERS, LLC PAGE: 1
FCC 2697
PROJECT ESTIMATE BASEMENT LIST
CONTACT: BORUNDA, ROBERT SALESPERSON: PRATT, TRAVIS
OUST #: 278170833 SALES #: 2482338
PROJECT NUMBER: 665501431 DATE ESTIMATED: 02/03/21
QTY
ITEM #
ITEM DESCRIPTION
VEND PART #
PRICE
----------
-----
15
---------
13002
------------------------------
JM R13F 106.56=SQ FT 15-INX93-
--------------------
K1241
619.35
FRONT RANGE SPECIAL PIF
3.87
160
26818
2-4-8 #2 KD DF-HF-LRCH SEL STU
4368
1091.20
FRONT RANGE SPECIAL PIF
6.82
26
432483
2-4-16 TOP CHOICE KD FIR
VIF204TOPCHCI
388.44
FRONT RANGE SPECIAL PIF
2.43
10
1255872
2-4-16 TREATED #2 PRIME
1255872
185:00
FRONT RANGE SPECIAL PIF
1.16
2
472146
.22 CAL LOAD YELLOW P50506
DDF1111400
15.16
FRONT RANGE SPECIAL PIF
0.09
2
594131
XXL 14GV 3-IN PIN W/ WASHER
DDF312165P
21.96
FRONT RANGE SPECIAL PIF
0.14
2
688895
H 4M 3-INX.131-IN SMBR RH FR N
10110HPT
95.96
FRONT RANGE SPECIAL PIF
0.60
60
240891
GP 1/2-4-8 TR LW GYPSUM
NA
661.80
FRONT RANGE SPECIAL PIF
4.14
2
112276
25LB CRSE DRW SCR PH HD 1-1/4
S258CDW114
63.96
FRONT RANGE SPECIAL PIF
0.40
2
112151
SR ULW JT COMPD 3.5-GAL CARTON
381901
18.92
FRONT RANGE SPECIAL PIF
0.12
26
1965972
AR TELLURIDE OAK 21.26SF
360831-33996
878.80
.FRONT RANGE SPECIAL PIF
5.49
4
1000385
SOS 3,6 2PNL SQUARE TOP SM LH N
L01000385
550.52
FRONT RANGE SPECIAL PIF
3.44
19
1324955
PMDF 431M BSE 1/2X5-1/4 F08
431M-MDF-08
195.70
FRONT RANGE SPECIAL PIF
1.22
9
1324954
PMDF 430SM BSE 1/2X4-1/4 F12
430SM-MDF-12
138.87
FRONT RANGE SPECIAL PIF
0.87
4
773960
31-FL OZ SIGNATURE EG UW/BSA
007.0773960.
65.92
CO PAINTCARE RECOVERY FE
1.40
FRONT RANGE SPECIAL PIF
0.41
2
70111
12/2 CU NM-B W/G 250-FT
28828269
157.02
FRONT RANGE SPECIAL PIF
0.98
1
1572429
41N WAFER 3CCT 30K4OK50K DWNLT
WF4LED30K40K50KBN
24.48
FRONT RANGE SPECIAL PIF
0.15
2
777870
ETN 15A 125V ST GFI 3-CT WH
SGF15W-3-LW
75.56.
FRONT RANGE SPECIAL PIF
0.47
10
294955
LEG 15A/120V TR RESI REC 10-CT
3232TRWCP8
99.90
FRONT RANGE SPECIAL PIF
0.62
19
39499
1G'22.5-CU IN PVC NEW WRK BOX
B122A-UPC
12.92
FRONT RANGE SPECIAL PIF
0.08
7
70631
ETN 15A 120/277V DECO LITED'SW
7511W-BX-LS7
59.43
FRONT RANGE SPECIAL PIF
0.37
2
128737
STAMPED WHITE DOUBLE DECORATOR
W10252-W-CP
10.94
FRONT RANGE SPECIAL PIF
0.07
12
70639
ETN 1G STD DUP RECEPT PLATE WH
2132W-F-LW
4.20
FRONT RANGE SPECIAL PIF
0.03
OMZR130A LOWE'S HOME CENTERS, LLC PAGE: 2
FCC 2697
PROJECT ESTIMATE BASEMENT LIST
CONTACT: BORUNDA, ROBERT SALESPERSON: PRATT, TRAVIS
CUST R: 278170833 SALES #: 2482338
PROJECT NUMBER: 665501431 DATE ESTIMATED: 02/03/21
QTY
ITEM #
ITEM DESCRIPTION
VEND PART #
-----
2
---------
9011
------------------------------
SD HOM 15A 1P CIRCUIT BREAKER
----------------
HOM115CP
FRONT RANGE SPECIAL PIF
1
730269
PROMENADE E-MAX ROUND BOWL & T
CST423EF-01
FRONT RANGE SPECIAL PIF
1
3706221
Bathroom Vanity
ES-30036-WMSQ-GR
FRONT RANGE'SPECIAL PIF
18
1174301
12-24 FOREVERSTYLE GRAY MARBLE
FS021224HClL
FRONT RANGE SPECIAL PIF
18
854774
2-2 MOSAIC CHIQUE GRIS
854774
FRONT RANGE SPECIAL PIF
15
3728988
BOX OF 6 / SPEEDTILES NORIKER
IGS202NOR516/BX6
FRONT RANGE SPECIAL PIF
4
1484789
SANDED 25 LB AVALANCHE
23825
FRONT RANGE SPECIAL PIF
2
124502
KERACOLOR U AVALANCHE #38 10-L
FRONT RANGE SPECIAL PIF
1
32.9921
6-INX25-FT FOIL FLX CNNCTR UL(
L616UL
FRONT RANGE SPECIAL PIF
1
2504383
50 Cfm, 1.5 Sones.
670
FRONT RANGE SPECIAL PIF
1
555296
OXYGENICS FORCE BN SHOWER HEAD
81588
FRONT RANGE SPECIAL PIF
1
3734950
STUDIO S DIVERTER VALVE.TRIM
T105430.002
FRONT RANGE SPECIAL PIF
TOTAL FOR ITEMS
FREIGHT CHARGES
DELIVERY CHARGES
CO - STATE TAX [ STATE]
CO - LARIMER COUNTY. TAX ( COUNTY]
FORT COLLINS (FRV-S) - CITY TAX [ CITY]
FEE - FRONT RANGE SPECIAL PIF [SPECIAL FEE 11
FEE - CO PAINTCARE RECOVERY FE (SPECIAL FEE 11
TOTAL ESTIMATE
PRICE
8.62
0.05
462.99
2.89
1109.00
6.93
84.24
0.53
179.64
1.12
1034.85
6.47
53.92
0.34
22.96
0.14
21.98
0.14
39.98
0.25
29.98
0.19
84.00
0.53
8568.17
0 .,00
0.00
250.07
68.98
331.99
53.55
1.40
9274.16