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Home My WebLink About6149 S SHIELDS ST - APPLICATIONS - 12/21/2018City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES Fort Collins 281 N. College Ave. •Fart Collins, CO 80524 •Phone: 970.416.2740 • www.fceov.com/building BUILDING PERMIT APPLICATION FOR OFFICE USE APPLICATION NUMBER: �j I I OO APPLICATION DATE: 1 2—Z( I Job Site Address I y S . Sh )'P-4d Unit# PROPERTY OWNER INFO: (All owner information is required — NOT optional) Last Name &ytiLekA First Name 11: Ze_6&f tt Middle C Street Address ) 8 (b P,yW&.e Ave - City J'Vye'L " State 06 Zip '?DS.5g Phone # lit) 129D . 4164 Email �YreUS2 . P6YVt Name Of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: CompanyName VMA!4�s DAPUzK PLC — TP >A License Holder Name Ed bib &IoLS LIC# LEGAL INFO: CE RT # Subdivision/PUD ►[t!j rpyi SUbdil4ei iling # Lot # Block # ( Lot Sq Ft 161, bq6 CONSTRUCTION INFO: Total Building Sq Ft (NOT including basement) � j o3 Total Garage Sq. Ft. 90 Residential Sq Ft 3JUS Commercial*Sq Ft # of Stories l Bldg Ht ) � `$F' # of Dwelling Units 1st Floor Sq Ft 41 b3 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft Finished Basement Sq Ft % Baths 0 % Baths 0 ENERGY INFORMATION: (CHECK ONE) # of Bedrooms 4 # of Full Baths # Fireplaces (� ComCheck ❑ UA (ResCheck) ❑ SID (Simulated Performance Alternative) Air Conditioning? YES NO ❑ City of Fort Collins Approved Stock Plan # SPO ❑ PrescriptiveXl List Option #s UTILITIES INFO: Gas A Electric x Electric Temp. Pedestal Electric Main Breaker Size (Residential Only): 150 amp or less ❑ ZONING INFO: (COMMERCIAL USE ONLY) 3 ERI(Energy Rating Index) ❑ Yes IN" No ❑ 200 Amp X Other ❑ 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? Yes ❑ No ❑ If yes, please describe: Value of Construction (materials and labor): $ 5z0, b6 0 Description of Work: JOBSITE SUPERVISOR CONTACT INFO: Name } a l?'L'A Dyram Phone %p . �$1 , �$� 8 SUBCONTRACTOR INFO: Electrical UyQ M M �_f �d Vj� Mechanical Plumbing 143D Framing PAd ` M DVw, Roofing 1" Fireplace N� Solar N)A 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). ❑ 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) ZJ 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 Type or Print Name ]�, e. GIJL&, Phone # D . D . Emai hg Ag u,l l � _Inkm q-- cn& THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE City of Fort Collins Planning, Development & Transportation Services Community Development & Neighborhood Services 81 North College Avenue Fort Collins, -CO 80524 970.416.2740 Building Permit Submittal Checklist: New Single Detached Family Homes, Duplexes, Townhomes, and Additions Incomolete or deferred submittals will not be accented Required of permit submittal - Electronic submittal required. depicting the scope of work Building Permit Application Plans must reflect current adopted codes and standards: www.fcgov.com/building/codes.oho V1 Mechanical Design Form Homeowner Affidavit (homeowner builders only) Energy Code Compliance Form / V Plan Check Fee (Payment by check only) Additional fee Is required for an F&F permit. Construction Waste Management Plan Form Require •Additional Requirements 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 (new or altered). Separate Solar Permit: Required for all new solar Architectural Drawings: Historic Preservation Review Existing Drawings showing pre -demo condition Imo) pc www.fcgov.com/historic preservation ✓ Proposed Floor Plans with room labels and areas Alterations to, or Demolitions of buildings more than 50 years old will be reviewed for Historic Eligibility Exterior Elevations, Building Section, Details Townhomes only: Accessibility plan CRS 9-5 Grading Structural Drawings: V 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. 3505f. ✓Loads: Floor and roof loads used. Are you building in a Floodplain7 Framing Plans: Floor, Roof, Girders and Headers https://www.fcgov.com/utilities/what-we- N do/stormwater/flooding/floodplain-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 secondary systems for additions) per lot, and short term rentals. Manual J,D,S (ACCA approved only) zoning0fcgov.com Electra al Drawing Select Poudre Fire Authority: 102 Remington / (970)-416-2891 Outlets, lighting, panel, equipment. \C0 https://www.poudre-fire.org/online-services - Site Plan If using NFPA 13D,13R or 13 Fire Suppression Systems, a separate Show distance from new work to property lines, and adjacent submittal is required through the Poudre Fire Authority website. structures on the same lot. Optional homes Footing & Foundation Permit allowed(new only, not for additions) Fire Details • Submit for full permit with an additional F&F set t4A Townhomes and Duplexes only: Fire separation details and fire land F&F sprinkler systems under P2904 must be submitted for review. 1� Set: Structural Foundation Plans (stamped), Underground plumbing N Y� electric (for townhomes only). Applicant Name: tIn2ei IDWA C . fSk l Job Site Address: -rep earct I 91� 16'(b086 (, i S. SVpelds S� Col L) Yt5 $652{0 Phone: 11 D • 711 D A q Email (Required): bt>M IA4K% - e6vvl