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Home My WebLink About303 Dassault St - Permits/Basement Finish - 02/25/2021Owner:THOMAS DANIEL WYATT 303 DASSAULT ST FORT COLLINS,CO 80524-7515 Phone:970-980-5601 Zoning:Front setback:Rear setback:Right setback:Left setback: Minor Amend #:Plat File #:ZBA Case #: Zoning district:LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT Legal:Subdivision/PUD:Filing #:Lot #:4 Block #:33 Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:800 #of stories:Occ Group:Const Type: Fire Sprklr:Stock plan #:Stock plan options: Contractor:NOBLEMAN ELECTRICAL CONTRACTING,LLC 4425 River Run Ln. WELLINGTON,CO 80549 License #:ME-1582 Phone:970-219-5857 Supervisor cert #: Subcontractor(s)Phone License Number Electrical:NOBLEMAN ELECTRICAL CONTRA 970-219-5857 ME-1582 Plumbing:PD GREEN'S 970-310-9395 MP-882 Work Description:Basement finish of 800 sq ft to include 1 full bathroom,living area,and 1 bedroom.Second bedroom will be framed out but not finished.Homeowner affidavit on file.Job contact:Dan Thomas 970-980-5601 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 02/25/21:$718.58 Payment method:Credit Card 4678 **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 work on the property described herein. I agree to comply with all the requirements contained herein,and City ordinances,and State laws associated with 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. Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2101426 Issued Full:02/25/2021 Permit Type:Basement Finish Site Address:303 DASSAULT ST Job Valuation:$24,240.00 Category:Residential Remodel Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #4678 02/25/2021 $718.58 Receipt issued:02/25/2021 Total Paid to Date:$718.58 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $466.62 $466.62 02/25/2021 $0.00 County Sales/Use Tax 100.217030 $96.96 $96.96 02/25/2021 $0.00 Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/25/2021 $0.00 TOTAL FEES:$718.58 $718.58 $0.00 TOTAL BALANCE DUE AS OF 02/25/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2101426 Issued Full:02/25/2021 Permit Type:Basement Finish Site Address:303 DASSAULT ST Job Valuation:$24,240.00 Category:Residential Remodel Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 City of k_:SoU� COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building BUILDING PERMIT APPLICATION FOR OFFICE USE APPLICATION NUMBER: APPLICATION DATE: Job Site Address 303 Dassault Street Fort Collins CO 80524 PROPERTY OWNER INFO: (All owner information is required -NOT optional) Unit# Last Name . Thomas First Name Daniel Middle Wyatt -�----- Street Address 303 Dassault Street City Fort Collins state CO Zip 80524 Phone # 970-980-5601 Email Dan27.Thomas@gmail.com Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Company Name N/A ------------------------- License Holder Name LIC # CERT# LEGAL INFO: Subdivision/PUD 87081-61-004 Filing# 1662625 Lot# Block# Lot Sq Ft 5000 CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) 2400 Total Garage Sq. Ft. 600 ----- Residential Sq Ft 2400 Commercial Sq Ft O # of Stories 2 Bldg Ht 30' # of Dwelling Units --- 1st Floor Sq Ft 1600 2nd Floor Sq Ft 800 3rd Floor Sq Ft O Unfinished Basement Sq Ft 300 ---- Finished Basement Sq Ft 1000 # of Bedrooms 1 # of Full Baths 0 % Baths 1 Yi Baths O # Fireplaces 0 ENERGY INFORMATION: (CHECK ONE) ComCheck D · UA (ResCheck) D Air Conditioning? YES 0 ----- SPA(Simulated Perfo rmance D Pres crip tiveD Alternative) NO D City of Fort Collins Approved Stock Plan# SPO List Option #s --------- ERl(Energy Rating Index) [!] --------------------- UTILITIES INFO: Gas � Electric � Electric Temp. Pedestal Yes Electric Main Breaker Size (Residential Only):150 amp or less � 200 Amp 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 New TenantD If for a new tenant, is this the first tenant to occupy this space? D No D D Other D Yes D No D 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 D No El B2101426 2/24/2021 Value of Construction (materials and labor): s17615 Description of Work: Finishing the basement. One bathroom, living area, one completly finished bedroom and one half finished bedroom. JOBSITE SUPERVISOR CONTACT INFO: Name Daniel Thomas SUBCONTRACTOR INFO: Electrical #0101041 ------------ PI um bing License #0003534 Framing Myself Phone 9709805601 Mechanical Myself -�---------- Roofing----------- Fireplace Solar Other ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bi/113-152, 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. D An asbestos inspection has been conducted on this property on or about (enter date) D 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 cqnta· herein and City of Fort Collins ordinances and state laws regulating building construction. Applicant Signature Phone# 970-980-5601 Type or Print Name Daniel Thomas Email Dan27.Thomas@gmail.com THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE City of Fort Collins Building ServicesPO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFFIDAVIT I , DC'-,/'\.,<, "c,( · W ��, as owner of record of the property located at: 3 < ;---... -:-J l ,goS"'?--'-f (!) ....) ��Sot v1.+ $+, ft-:- Co ( 1� Co , Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that applies): OPTION 1: CONSTRUCTION OF NEW HOME D I am 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. OPTION 2: 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 prjmary residence. OPTION 3: PERMITED WORK ON ATTACHED SINGLE FAMILY DWE LLING UNIT. D I am acting on my behalf for the purpose of obtaining a building permit and personally constructing a nonstructural alteration to my attached single family dwelling unit. The house to be altered is my personal prjmary 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 Fort Collins. 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 presence of Notary Public Witness my hand and official seal My commission expires: ALF ,:• ,, MY COM '.)RD )0 : ;73 · 1 t\ER 5, 2021 B2101426