HomeMy WebLinkAbout820 Merganser Dr - Applications/Shed - 09/17/2020FoCityofCOMMUNITY DEVELOPMENT St NEIGHBORHOOD SERVICES
rt Collins 281 N. College Ave. a Fort Collins, CO 80524 * Phone: 970.416.2740 9 www.fcgov.com/building
BUILDING PERMIT APPLICATION
B2010629 FOROFFICEUSE 09.17.2020
APPLICATION NUMBER: APPLICATION DATE:
Job Site Address 820 Merganser Dr. Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name First Name Middle
Street Address 820 Merganser Dr. City Fort Collins State Co Zip 80524
Phone # W02210124 Email dmorayla@missionrockres.corn
Name of Business (COMMERCIAL USE ONLY) Bull Run Town Homes
CONTRACTOR INFO: Company Name Tuff Shed
License Holder Name Tom Saurey
LEGAL INFO:
LIC # 24W CERT # 1427-D2
D2--39—
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft _
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Tj' Z() Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft 3ZO # 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 Yz Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
COmCheck ❑ UA (ResCheck) ❑ SPA (Simulated Performance ❑ Prescriptive❑ ERI(Energy Rating Index) ❑
Alternative)
Air Conditioning? YES ❑ NO LI
City of Fort Collins Approved Stock Plan # SPO List Option #s
UTILITIES INFO: Gas ❑ Electric ❑ Electric Temp. Pedestal Yes ❑ No 91
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.) Accessory storage shed. no utilities.
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)
ExistingTenantLl 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?
If yes, please describe:
Yes ❑ No
Value of Construction (materials and labor):
12700.00
Description of work: Accessory storage shed. no utilities.
JOBSITE SUPERVISOR CONTACT INFO: Name Dillon Jeffries
SUBCONTRACTOR INFO: Electrical
Plumbing
Fireplace
Phone 303-630-1913
Mechanical
Framing Roofing
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 (RCM's).
:E
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 —0Type or Print Name
Phone # 303-630- 1611-A mail `QC�)W,"O :tA
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE