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Home My WebLink About710 W Mulberry St - Permits/Addition or Alteration - 06/17/2020Owner: STRUCKHOFF JESSE J 710 W MULBERRY ST FORT COLLINS, CO 80521 Phone: 970-829-6062 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: 25 Com sq ft: Ind sq ft: Basement sq ft: # of stories: Occ Group: Const Type: V-B Fire Sprklr: Stock plan #: Stock plan options: Contractor: Weeks & Associates License #: ENG-23012 Phone: Supervisor cert #: Subcontractor(s) Phone License Number Job Contact: STRUCKHOFF JESSE J 970-829-6062 Work Description: Construction of a 30 sq. ft. enclosed porch on the east side of the house. This is a single dwelling unit. Work included in this permit does not increase the number of dwelling units. 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: 101 102 203 205 200 204 207 303 301 300 302 206 100 202 201 TOTAL FEES PAID AS OF 06/17/20: $129.85 Payment method: Credit Card 4567 ** Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed workonthepropertydescribedherein. I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced, suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #: B2005173 Issued Full: 06/17/2020 Permit Type: Residential Addition Site Address: 710 W MULBERRY ST Job Valuation: $1,897.50 Category: Residential Remodel Signature: Print Name: Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK # 4567 05/22/2020 $129.85 Receipt issued: 06/17/2020 Total Paid to Date: $129.85 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee w/Subs 1000.422010 $85.73 $85.73 05/22/2020 $0.00 City Sales/Use Tax 251.122030 $36.53 $36.53 05/22/2020 $0.00 County Sales/Use Tax 100.217030 $7.59 $7.59 05/22/2020 $0.00 TOTAL FEES: $129.85 $129.85 $0.00 TOTAL BALANCE DUE AS OF 06/17/2020: $0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #: B2005173 Issued Full: 06/17/2020 Permit Type: Residential Addition Site Address: 710 W MULBERRY ST Job Valuation: $1,897.50 Category: Residential Remodel Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Fort —Cityo^ Collins ,, COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80S24 • Phone: 970.416.2740 • www.fcgov.com/building E BUILDING PERMIT FOR OFFICE APPLICATION USE PPLICATION NUMBER: APPLICATION DATE: Job Site Address ■7io VAi $T . Targr ^ollhoS/ fo 'SOS^ \ PROPERTY OWNER INFO: (All owner information is required - NOT optional) Unit# Last Name _________First Name Middle Street Address -Tip tio ST- City Phone# c\76-^Z^-{aOhT________Email corwv Name of Business (commercial use only) ft._____________________________________ State 60 Zip %C^'Z | CONTRACTOR INFO: Company Name A License Holder Name LEGAL INFO: Lie# CERT# _________ Filing# |J/ A Lot#ut i3-^\,tp Block# 'Z7*7 LotSqFt CONSTRUCTON INFO: Total Building Sq Ft {not including basement) ______Total Garage Sq. Ft. _____ Subdivision/PUD UQOhAlS Residential Sq Ft \,7^^ Commercial Sq Ft fJl A # of Stories y Bldg Ht jWA_#of Dwelling Units kt/A 1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft Finished Basement Sq Ft A______ # of Bedrooms 2^________ # of Full Baths ______ \____________ aA Baths 1 Yi Baths # Fireplaces W)A ENERGY INFORMATION: (CHECK ONE) ComCheck □ UA (ResCheck) □ SPA(Simulated Performance Alternative) □ PrescriptiveD ERKEnergy Rating Index) □ Air Conditioning? YES 0^ NO □ 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 200 Amp □ 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 TenantD NewTenantO 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? If yes, please describe: Yes □ No □ B2005173 6/17/2020 Value of Construction (materials and labor): ________________________________________ Description of Work: p. 2Sq£Tf^. eMcVosa-Cs o*o -fUP F/vs-r Vk3Na5^ ■I JOBSITE SUPERVISOR CONTACT INFO: Name tVgXSf STU-V^tlcHOTf^ SUBCONTRACTOR INFO: Electrical Mechanical Phone Plumbing Fireplace Framing Solar Roofing 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). 0^^I do not know if an asbestos inspection has been conducted on this property. G An asbestos inspection has been conducted on this property on or about (enter date) G 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 containe^herein and City of Fort Collins ordinances and state laws regulating building construction. Applicant Signature Phone # Type or Print Name Email $'hr^fCk.K\yfP JD___________ THIS APPLICATION EXPIRES 180 DAYS FROM APPUCATION DATE Forffcollins Building Services PO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFFIDAVIT l/we, as owner(s) of record of the property located At: 7^0 (Aj M\J(MEr(2A>^ ST , Fort Collins, Colorado, hereby declare and attest OPTION 2 OPTION 3: to the following: (please check only the one that applies): OPTION 1: □ I am/ we are acting on my/ our behalf for the purpose of obtaining a building permit and personally constructing my/our home. The home to be constructed is on the above property and will be my/our primary residence, l/we have not personally constructed any other new homes in the Fort Coilins city limits within the past 24-month period. i am/we are acting on my/our behaif for the purpose of obtaining a building permit and personally constructing an alteration or addition to my/our house, acting as our own generai contractor. The house to be altered is on the above property and is my/our personal primary residence. I am/we are acting on my/our behaif for the purpose of obtaining a buiiding permit and personaiiy constructing a non-structural aiteration to my/our attached single family dwelling unit. The house to be altered is my/our personal primary residence. I am aware that l/we cannot do any structural, electrical, plumbing or mechanical work and must hire contractors/subcontractors who are cumently licensed and insured with the City of Fort Collins. I am/we are 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, which is described more fully on Permit Application # ______________________ (obtained from the Building Services office). l/we 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. l/we 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. | BRITT J GONDREZiCK Notary Public State of Colorado Notary ID #20194044285 My Commission Expires 11-22-2023 Sign in the presence of Notary Public O^ner The foregoing Affidavit was acknowledged before me on this ApvM, 207^_________ (month, year) by 1 +h Co-owner _ day of Witness my hand and official seal My commission expires: n/ ^o ^3 Revised 6/10/2014 B2005173