HomeMy WebLinkAbout410 WAYNE ST - APPLICATIONS - 9/19/2019City of
F,F66rt Collins
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
WING PERMIT APPLICATION
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PPLICATION NUMBER: {"'JAI ("'�11("�I APPLICATION DATE: t a
Job Site Address 410 Wayne Street Unit#
PROPERTY OWNER INFO: (All owner information is required — NOT optional)
Last Name Thoms First Name Sally Middle A
Street Address 410 Wayne Street City Fort Collins State CO Zip 80521
Phone # 340-277-5809 Email smilesally@gmail.com
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name Armstead Construction Inc.
License Holder Name Jeffrey J. Schneider
LEGAL INFO:
Subdivision/PUD 1094- Kenwood Heights Filing # Lot #
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement)
Residential Sq Ft Commercial Sq Ft # of Stories
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft
Finished Basement Sq Ft # of Bedrooms
Baths Y2 Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA (ResCheck) ❑
LIC # D-362 CERT # 2286-D1
9 & 1/2 8 Block # 2 Lot Sq Ft 10444
Total Garage Sq. Ft.
Bldg Ht # of Dwelling Units_
Unfinished Basement Sq Ft
# of Full Baths
SPA (Simulated Performance ❑ prescriptive❑ ERI(Energy Rating Index) ❑
Alternative)
Air Conditioning? YES ❑ 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 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?
If yes, please describe:
Yes ❑ No ❑
Value of Construction (materials and labor): $ 75,000
Description of work: Adding a new concrete covered front porch and patio to be about 708 sq ft to include
adding six new recessed can lights and two new fans. Remove existing window in dining room and
installing new 6' sliding glass door.
JOBSITE SUPERVISOR CONTACT INFO: Name Jeffrey J. Schneider
SUBCONTRACTOR INFO: Electrical Kinnetic Electric Mechanical
Phone 970-566-9971
NA
Plumbing NA Framing Armstead Construction Roofing Barclay Roofing
Fireplace NA
Solar NA
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).
❑ 1 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.
7-1-2019
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.
Jeffrey J Schneider°""a2019.06.241Hy signed by 'a"238-OVOBtlef Jeffrey J. Schneider
Applicant Signature Y oate:so,e.os.za,,:oz:ae-os•"o• Type or Print Name Y
Phone # 970-472-1113 Email Jeff@armsteadconstruction.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE