HomeMy WebLinkAbout430 N COLLEGE AVE - PERMITS - 11/6/2020arof
t Collins
Site Address: 430 N COLLEGE AVE
Job Valuation: $3,150.00 Category: Prof Office & Pers Svcs
Owner: CSU Reasearch Foundation
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B2012505
Issued Full: 11/06/2020
Permit Type: Demolition
2537 Research Blvd, Ste 200
FORT COLLINS, CO 80524
Phone: 970-491-6673
Zoning: Front setback: Rear setback:
Right setback:
Left setback:
Minor Amend M Plat File #:
ZBA Case #:
Zoning district: D - DOWNTOWN DISTRICT
Legal: Subdivision/PUD:
Filing#:
Lot#: 1 Block#:
Code: Res sq ft: Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: HILLSIDE CONSTRUCTION
License M B423
Supervisor cert#: 277143
216 Hemlock St Ste B
FORT COLLINS, CO 80524
Phone: 970-567-1821
Subcontractor(s)__ r_,
_-Phone
License Number
Electrical: i CASEY'S•ELECTRIC,.INC;,-! --
r+' 970-,988-8497-- f
;
l 1 -;--„ME-1339--,
Work Description: Demolition of 891 sq. ft. of existing non-6earing
walls; doors, and frames of existing offices. Job coritact: Sean
Rogers 970-567-1821.
IISCHEDULE 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
HPossible Inspections Required: 303 1
TOTAL FEES PAID AS OF 11/06/20: $50.00 Payment method: Credit Card 9051
*` Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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.
Signature: Print Name: Date:
Form Revised Oct
Fori
�t Collins
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B2012505
Issued Full: 11/06/2020
Permit Type: Demolition
Site Address: 430 N COLLEGE AVE
Job Valuation: $3,150.00 Category: Prof Office & Pers Svcs
Transactions
Method Check Number Date Paid
Credit Card CK#9051 11/06/2020
Receipt issued: 11/06/2020 Total Paid to Date:
Fee Description Account Code
Permit Flat Fee w/o Subs $50 1000.422010
TOTAL FEES:
Amount Paid Comments
$50.00
$50.00
Fee Amount Amount Paid Date Paid
$50.00 $50.00 11/06/2020
$50.00 $50.00
TOTAL BALANCE DUE AS OF 11/0612020:
Amount Due
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Planning, Development & Transportation
City Of 281 N. College Ave P.O. Box 580
Fort Collins Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
DEMOLITION PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply).
d Demolition -interior non-structural
❑ Partial Demolition of existing building
❑ Demolition of entire building or residence
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # = i..y I >Cr6 'jam Date November5, 2020
For office use only
Job Site Address (required) Value of Construction (labor, materials, profit)
430 North College Avenue $3.150.00
Property Owner Name Address City/State Zip Phone
CSU Research Foundation 2537 Research Blvd, Ste 200, Fort Collins, CO 80524 970-491-6673
Applicant Name Address City/State Zip Phone
Sean Rogers 216 Hemlock Street, Ste B, Fort Collins, CO 80524 970-567-1821
Contractor Address City/State Zip Phone
Hillside Construction Inc. 216 Hemlock Street, Ste B, Fort Collins, CO 80524 970-567-1821
Contractor City of Ft. Collins Sales Tax #
Sales tax number is required by all contractors Are you paying with your trust account? ❑ Yes lZ No
Is this a residential or commercial project? ❑ Residential 21 Commercial
Is the demolition of an upcoming Development Review project? ❑ Yes lZNo
If residential, is it: ❑ Single Family Detached ❑ Condo/townhome (single family attached) []Duplex
❑ Multifamily (apartment) ❑ Garage: Square footage if detached
Number of dwelling units to be demolished:
If commercial, is it: ❑ Bank ❑ Bar ❑ Church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this building 50 years of age or more? ❑ Yes 19 No
Type of New Building Planned: ❑ Single Family Detached ❑ Condo/townhome (single family attached)
❑ Multifamily (apartment) ❑ Duplex ❑ Detached Garage ❑ Commercial Mixed -Use Building
Description of work Removal of existing non -bearing walls, doors and frames of existing offices.
Square footage to be demolished: 891sf
Subcontractors: List the company name or City of Ft Collins license #
Electrician Casey's Electric Plumber NIA Mechanical NIA Roofer Other
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permit is not valid until it has been paid and issued.
j Digitally signed by Sean
Sean Rog el -$Rogers
Applicant: , Date:2020.11.05
Print Name: Sean Rogers Signature .1 13:4923-07'00' Date
November 5, 2020
Fort Collins
Planning, Development & Transportation
281 N. College Ave
Fort Collins, CO 80524
Phone 970-416-2740 Fax 224-6134
BUILDING OWNER AUTHORIZATION TO OBTAIN A COMMERCIAL
BUILDING PERMIT
I, (Print) -el�t/`1'W�D as owner of record (property
address) 430 North College Avenue known as (name of
business) Foweli_11ou6>r JEjjr4&Q( 64WAS hereby authorize the
work listed below to be done on said property. I understand that such work will only be
performed contractors licensed by the City of Fort Collins.
® I am giving permission for interior work only. The scope of the work shall be
limited to: Constructiong of interior offices, conference room, open office
and 3 multipurpose rooms.
❑ I am giving permission for exterior work only. The scope of the work shall be
limited to:
❑ I am giving permission for interior and exterior work. The scope of the work shall
limited to :
owner
pf-yw
(Property owner name, please print)
The foregoing affidavit was acknowledged before me the �_ d y of
b-'O'Li 2 month, year) by 1 ��
for the purpose therein set forth.
Witness my hand and official seal.
My Commission expires:a QD .-CZ_aI
Permit #
Office use only
Notary
Notary,,Publio
State of ,Colorado.
Notary ID #118874061885
ommissioniExoires 02-20-2021