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Home My WebLink About410 E LAKE ST - PERMITS - 11/18/2020�t of Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Site Address: 410E LAKE ST Job Valuation: $22,465.37 Category: Residential Remodel Owner: HANDY RYAN MAYE 410 E LAKE ST FORT COLLINS, CO 80524 Phone: 505-310-2395 Building Permit#: B2011315 Issued Full: 11/18/2020 Permit Type: Deck Zoning: Front setback: Rear setback: 70.0' Right setback: 14.0' Left setback: 7.0' Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: 404 Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: JJ FENCING AND DECKS, LLC PO Box 7944 Loveland, CO 80537 Subcontractor(s) Filing #: Lot #: _Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: License #: MM-658 Phone: 970-669-3642 Phone Supervisor cert#: 4091-MM License Number Work Description: Construction of a 404 sq. ft. composite deck with two staircases. Job Contact: Justin Ewing: 970-590-8384 ext II ** OnliSCHEDULE INSPECTIONS: ** ne Portal: PonI: fcgo .com/Cit zenAccess via Onlinne Portal 8 aBMobile Device: fcqov.com/CitizenAccess/mobile II IlPossible Inspections Required: 101 100 203 303 II TOTAL FEES PAID AS OF 11118/20: $986.80 Payment method: Check 5054 " 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. Signature: Print Name: Date: Form Revised Oct 2010 City of Community Development & Neighborhood Services F6rt Collins 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B2011315 Issued Full: 11/18/2020 Permit Type: Deck Site Address: 410E LAKE ST Job Valuation: $22,465.37 Category: Residential Remodel Method Check Number Date Paid Check CK# 5054 11/18/2020 Credit Card CK# 6763 10/07/2020 Receipt issued: 11/18/2020 Total Paid to Date Fee Description Account Code Building Permit Fee Without 1000.422010 Subs City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Plan Check Fee 1000.444010 TOTAL FEES Amount Paid Comments $803.82 $182.98 $986.80 Fee Amount Amount Paid Date Paid Amount Due $281.50 $281.50 11/18/2020 $0.00 $432.46 $432.46 11/18/2020 $0.00 $89.86 $89.86 11/18/2020 $0.00 $182.98 $182.98 10/07/2020 $0.00 $986.80 $986.80 TOTAL BALANCE DUE AS OF 11/18/2020 $0.00 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 City of COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES ,art Calms 281 N. College Ave. •Fort Collins, CO 80521 •Phone: 9711.416.2740 • www_fcaov.com/bulldlna BUILDING PERMIT APPLICATION FOR OFFICE 115E APPLICATION NUMBER: �ja{j� (gL 5' APPLICATION DATE: Job Site Address 4 Ao 'E . LoA<e, Unit# PROPERTY OWNER INFO: (All owner information is required — NOT optional) Last Name First Name R r.0 Middle Street Address 41D , Lo kp_ City r} CAi\ t RS State CO _Zip Phone c,Rci 31D - _-j�9,_ Email 1np n � M� \ Cruet Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Company Name License Holder Name -nsaS V�n C\Xj L m LIC # MM - (e5bCERT #4D9_I._:_M M LEGAL INFO: �t Subdivision/PUD M Mir ErS Filing # Lot # ` Block # Lot Sq Ft 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) ❑ SPA (Simulated Performance ❑ Alternative) Air Conditioning? YES [I- N 0 ❑ City of Fort Collins Approved Stock Plan # SPO Total Garage Sq. Ft. Bldg Ht # of Dwelling Units Unfinished Basement Sq Ft # of Full Baths Prescriptive[] List Option #s 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: 1(i.e. medical, office, bank, retail, etc.) is the remodel/tenant finishes for an existing or new tenant? (Please check one) ERIIEnergy Rating Index) ❑ ❑ No ❑ Other ❑ ExistingTenlant❑ 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 ❑ (materials and labor): $ as a A (D� _ •31— r,gFcz1\ a.0 Sca _ -pt. CArc,o�St1e. dFi'}< JOBSITE SUPE5VISOR CONTACT INFO: Name SUBCONTRACTOR INFO: Electrical Mechanical Plumbing Framing Fireplace Solar Roofing Other W S • ASBESTOS STATEMENT DISCLOSURE: in accordance with the State of Colorado Senate 811113-152, property owners, applying for a remodel permit shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (RCM'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) ❑ An asbestos inspection has not been conducted on this property. Applicant: I hereby acknowled have read this application and state that the above Information is correct and agree to comply with all requirement onto d her d City of Fort Collins ordinances and state laws regulating building construction. Applicant Signature TypeorPrintName �UnW1Rn Phone#g-,Lc, Email it,—% �� t r L-r-10 . CxsrrL THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE