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Home My WebLink About909 Chippewa Ct - Applications/Addition or Alteration - 04/13/2020todins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 261 N. Coliege Ave. a Fort Collins, CO 90524 • Phone-S70A16.2740 • www.fo&ov wm/bulIdine BUILDING PERMIT APPLICATION � wxo�� / APPLICATION NUMBER: `{�jZ,O G �J [) APPLICATION DATE: Job Site Address i?A j G. M Unit# PROPERTY OWNER INFO: (AlPownfihlriformation is required — NOT optional) Last Name /� �t u jS� y First Name ��n S4sapr Middle Street Address i61* City Z��7 4-W11"We State 44 Zip Phone# Emall ".r, ys,,r.0 ay g2e,vra"AW Name of Business (COMMERCIAL USE ONLY) . CONTRACTOR INFO: Company Name.,&,,/o L,• „!, /,., labs/�e roe T . License Holder Name ,dv/e `� n�lfoliy, LIC # fJ—i5-7,- CERT # 3yy raj LEGAL INFO: Subdivision/Pk1D'Z,V"d�„filing #. >`' Lot # /l . Block # Lot Sq Ft CONSMUCTONLINFO: Total Bpild(ng Sq Ft (NOT Including basement) Total Garage Sq. Ft. Residential Sq Ft �� Ir�C101mmerclal Sq Ft # of.Storles / 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 te' drooms # of Full Baths % Baths % Baths # Fireplaces ENERGY INFORMATION: (CHECK ONE) ComCheck ❑ UA (ResCheck) ❑ SPNIternative) (Simulated Performance ❑ prescriptive❑ ERI(Energy Rating Index) ❑ Alter Air Conditioning? YES ❑ NO ❑ City of Fort Collins Approved Stock Plan # SPO Ust Option #s UTILMES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No ❑ Electric Main Breaker Size (Residential Only): 150 amp or less ❑ 200 Amp ❑ Other ❑ ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) For Commercial remodels and tenant.finsshes, 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: JOBSITE SUPERVISOR CONTACT INFO: Name Pe/e `:`rolis� Phone �9�� 566 - 279e SUBCONTRACTOR INFO: Electrical 71,ef, Mechanical W/,r-,. sts%�G Plumbing Framing Oak, vµ40600fing Fireplace Solar Other ASBESTOS STATEMENT DISCLOSURE: in accordance with the State of Colorado Senate Bill 13-151, property owners, applying for a remodel permit, shall indicate their awareness about their property having been inspected forAsbeestos 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 aboutlonter date) ❑ An asbestos inspection has not been conducted on this property. Applicant: I hereby acknowledge that 1 have read this application and state that the above Information Is correct and agree to comply with all requirements cwntained'hereln and Clty,of fort Collins ordinances and state laws regulating building construction. Applicant Signature Type or Print Name®i spr�io�srs Phone# S�40,,- 2Z9� Email gl,e/e THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Glty of o:;IftCothns Planning, Development & Transpportat/on Services Community Development & Neighborhood Services 81 North Colle 6.2740 Avenue Fort Collins97'04180524 Buildine Permit Submittal Checklist: New Single Detached Family Homes,, Duplexes, Townhomes, and -Additions Incomnlete or deferred submittals will not be accepted Required Drawings depicting the scope of work •mittal - Electronic submittal required. Building Permit Application Plans must reflect current adopted codes and standards: www.fcgoy.com/bulgLniLcodes.Rh /t1� Mechanical Design Form and load Calcs it Homeowner Affidavit (homeowner builders only) Energy Code Compliance Form Plan Check Fee (Payment by check only) Additional fee Is required for an F&F permit. Construction Waste Management Plan Form Required • •Requirements NA=Not Applicable NIS=Not in scope (maV require a separate submittal, or review process) Separate Demo Permit: Required for Full or Partial demolition of exterior „, T $ir�A#,.,i elements. 'F.YFax •` ¢i5 a �...£ a1... _+2:: •f�N e.d'�T,t�r. 22 VAR R. �+'� •Y' 1, iw a Y�'!z•.ys,.yg�,+i Separate Solar Permit: Required for all new solar Y MW Architectural Drawings: Historic Preservation Review Existing Drawings showing re -demo condition Proposed Floor Plans with room labels and areas lwww.fcgov.comalistaricoreservation Alterations to, or Demolitions of buildings more than 50 years old will be Exterior Elevations, Building Section, Details reviewed for Historic Eligibility Townhomes only: Accessibility plan CRS 9-5 Grading Structural Drawings: Sheer. wall bracing and method used, wind speed used, wind N/aterU111ftiesEna@fc&ov.com Grading plan may be required if impervious area on lot is greater than speed method, wind speed exposure. 350sf. Loads: Floor and roof loads used. Are you building In a Floodplain7 AMP https•//www.fcgov.com/utilities/what=we- Framing Plans: Floor, Roof, Girders and Headers do stormwater floodin flood lain -ma s-documents Connections and details. (provide stair details) Zoning: 281 N College / (970) 416-2745 Mechanical Load Cabs (required for new forced air systems Including new Contact Zoning for questions on: Setbacks, easements, buildable area secondary systems for additions) per lot, and short term rentals. Manual J,D,S (ACCA approved only) zoninz fclov.cbm Electrical Drawing SNeat Poudre Fire Authority- 102 Remington / (970)-416-2891 Outlets, lighting, panel; equipment. �� httn<-//www ooudre-fire.ore/online-services Site Plan If using NFPA 13D,13R or 13 Fire Suppression Systems, a separate submittal Is required through the Poudre Fire Authority website. Show distance from new work to property lines, and adjacent Structures on the same lot. tion Permit Fire Details , lv Submit for full permit with an additional F&F set p / ry / Townhomes and Duplexes only: Fire separation details and fire be for F&F Set: Structural Foundation Plans (stamped), Underground plumbing sprinkler systems under P2904 must submitted review. and electric (for townhomes only). Applicant Name: / Job Site Address: L� �/� /e 4 r%l��l,.� Phone: Email (Required): 970=566-27 j9'%l:w��o% a/� ba:lo%os.toef