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Home My WebLink About419 N SHIELDS ST - APPLICATIONS - 8/13/2019W City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building BUILDING PERMIT APPLICATION FOROFFICEUSE APPLICATION NUMBER: Iq6�7 APPLICATION DATE: g; • 13 Job Site Address Lilq. N. Sh,ejds Sj. For+ Collirhsl CO 450�0,1 Unit# — PROPERTY OWNER INFO: (All owner information is required — NOT optional) Last Name 1) First Name ge_ma .Zr Middle Maltie Street Address H�9 55, City for Col)ihS State C� Phone # 9%0,�,�7 , g1$� Email WWQ1i9, @ gfAtkA, C.pwn Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Company Name N¢.o,Aer- ` W- QJ1e 0'J lkama'-� .lark License Holder Name LIC # CERT # LEGAL INFO: I00769/sl0 Subdivision/PUD �wnAN T 07 K69 Filing # Lot # Block # Lot Sq Ft 60�� CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) 1+4 Total Garage Sq. Ft. VA :nAl, Residential Sq Ft_4 commercial Sq Ft — # of Stories Bldg Ht # of Dwelling Units f 1st Floor Sq Ft 196 �2nd Floor Sq Ft 3rd Floor Sq Ft — Unfinished Basement Sq Ft -- Finished Basement Sq Ft Q # of Bedrooms 3 # of Full Baths Baths YS Baths # Fireplaces O ENERGY INFORMATION: (CHECK -ONE) c ComCheck ❑ UA (ResCheck) ❑ SPA(Simulated Performance R Prescriptive[]ERI(Energy Rating Index) ❑ Alternative) uU Air Conditioning? YES ❑ NO d City of Fort Collins Approved Stock Plan # SPO List Option #s UTILITIES INFO: Gas Ed Electric N( Electric Temp. Pedestal Yes ❑ No 14 Electric Main Breaker Size (Residential Only): 150 amp or less url 200 Amp ❑ Other ❑ ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical, office, bank, retail, etc.) N�,Q For Commercial remodels and tenant finishes. please answer the followine auestions: Is the remodel/tenant finishes for an existing or new tenant? (Please check one) Zip 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: Description of Work: LIU s 4 `�0, On 0 �)I dl.��+`T\C�`!� � v ThR. �C111SQ. r, 'hr lll�iv.A a i�2\nl h'c1Tr hQ� t JOBSITE SUPERVISOR CONTACT INFO: Name �r\ D Q `� Phone 7-10 22177 — I SUBCONTRACTOR INFO{: Electrical �� qrr� Mechanical w%A; Akr Plumbing Toyer ��`` Pluyr�nq Framing N-A c D,,-11e1, Roofing z Y cnm-�4, Fireplace Solar Other J,n, ,CY Gmcs�q 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). ❑ I do not know if an asbestos inspection has been conducted on this property. Ef An asbestos inspection has been conducted on this property on or about (enter date) �U 1 )b 9 ❑ An asbestos inspection has not been conducted on this property. Applicant: I hereby acknowledge that I ha ad this appli tion and state that the above information is correct and agree to comply with all requirpfne is contained herei an ity of F rt olins ordinances and state laws regulating building c truction. Applicant Signature yp�e/ or (int Na g Phone# �j -�� —k m �7Vu ail 'i(�e (,7,/ (!5mai, ,(`ichl THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATIO&DATE City of Collins Planning, Development & Transportation Services Community Development & Neighborhood Services 81 North College Avenue kort Collins, CO 80524 970.416.2740 Building Permit Submittal Checklist: New Single Detached Family Homes, Duplexes, Townhomes, and Additions Incomplete or deferred submittals will not be accepted °' 0 • 0 e' 0 a r � o � e epicting the slope of work Building Permit Application / I VPIanreflect current adopted modes and standards: .com/buildin /codes.ghp ! chanical Design Fonn and Load Calcs Homeowner Affidavit (homeowner builders only) Energy Code Compliance Form I Plan Check Fee (Payment by check only) Additional fee is required for an F&F permit. Construction Waste Management Plan Form • Stamped & Signed Drawings by a.Colorado Licensed Engineer/Architect' Separate Demo Permit: Required for Full or Partial demolition of exterior are required for:°" elements. All footing and foundation'work A/ Separate Solar Permit: Required for all new solar / (new or altered). Architectural Drawings: Historic Preservation Review Existing Drawings showing pre -demo condition www.fcgov.com/historicpreservation Proposed Floor Plans with room labels and areas 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: WaterUtilitesEng@fcgov.com Sheer: wall bracing and method used, wind speed used, wind Grading plan may be required if impervious area on lot is greater than speed method, wind speed exposure. 350sf. oads: Floor and roof loads used. Are you building in a Floodplain? https://www.fcgov.com/utilities/what-we- Framing Plans: Floor, Roof, Girders and Headers do/stormwater/flooding/flood p la in -maps -documents Connections and details. (provide stair details) Zoning: 281 N College / (970) 416-2745 Mechanical Load Calcs (required for new forced air systems including new Contact Zoning for questions on: Setbacks, easements, buildable area secon2l systems for additions) per lot, and short term rentals. Manual J,D,S (ACCA approved only) zoning@fcgov.com Electri Drawing Select Poudre Fire Authority: 102 Remington / (970)-416-2891 Outlets, lighting, panel, equipment. https://www.poudre-fire.org/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. Fire Details Submit for full permit with an additional F&F set Townhomes and Duplexes only: Fire separation details and fire sprinkler systems under P2904 must be submitted for review. 9and F&F Set: Structural Foundation Plans (stamped), Underground plumbing electric (for townhomes only). t Name:Job Appl'IT r� r � y� �. i G�r�rrr��S. Site ddress: J�1. sl�� S -9- Phone C� L 0'r Ema-1(Req fired): �P�� wccril ��