HomeMy WebLinkAbout209 EGYPTIAN CT - PERMITS - 2/25/2021Owner:ELLISON KATHLEEN M/SCOT M
201 W 8TH ST
CHANDLER,OK 74834-2603 Phone:405-328-1962
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:MMN -MEDIUM DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:40
#of stories:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:J GOODELL HOMES,INC.
1001-A E.Harmony Rd.#184
Ft.Collins,CO 80525
License #:D-800
Phone:970-231-1242
Supervisor cert #:3928-D1
Subcontractor(s)Phone License Number
Electrical:SIMPSON ELECTRIC INC 970-685-4069 ME-1305
Mechanical:MGI MECHANICAL SERVICES 970-310-9232 H-4034(C)
Plumbing:COLORADO PLUMBING INC 970-484-9922 MP-413
Work Description:Basement finish of 40 sf to include 3/4 bathroom.Previously finished space finished on B1805557.Job Contact
-970-231-1242
SCHEDULE 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
Possible Inspections Required:201 204 203 302 102 205 200 202 207 303 301 300
TOTAL FEES PAID AS OF 02/25/21:$224.75 Payment method:Credit Card 0245
**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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101439
Issued Full:02/25/2021
Permit Type:Basement Finish
Site Address:209 EGYPTIAN CT
Job Valuation:$3,000.00 Category:Residential Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #0245 02/25/2021 $224.75
Receipt issued:02/25/2021 Total Paid to Date:$224.75
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $57.75 $57.75 02/25/2021 $0.00
County Sales/Use Tax 100.217030 $12.00 $12.00 02/25/2021 $0.00
Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/25/2021 $0.00
TOTAL FEES:$224.75 $224.75 $0.00
TOTAL BALANCE DUE AS OF 02/25/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101439
Issued Full:02/25/2021
Permit Type:Basement Finish
Site Address:209 EGYPTIAN CT
Job Valuation:$3,000.00 Category:Residential Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
BUILDING PERMIT APPLICATION
FOR OFFICE USE
APPLICATION NUMBER: APPLICATION DATE:
Job Site Address Unit#
PROPERTY OWNER INFO: (All owner information is required – NOT optional)
Last Name First Name Middle
Street Address City State Zip
Phone # Email
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name
License Holder Name LIC # CERT #
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft
Finished Basement Sq Ft # of Bedrooms # of Full Baths
¾ Baths ½ Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ☐ UA (ResCheck) ☐ SPA (Simulated Performance
Alternative) ☐ Prescriptive ☐ ERI (Energy Rating Index) ☐
Air Conditioning? YES ☐ NO ☐
City of Fort Collins Approved Stock Plan # SP0 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? Yes ☐ No ☐
If yes, please describe:
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
209 Egyptian Court
Ellison Kathleen
201 W 8TH ST Chandler OK 74834
405.328.1962 ellisonkat@aol.com
J Goodell Homes
Jeff Goodell D-800
SHENANDOAH PUD 43 9,583
312 0
1
4
DocuSign Envelope ID: 7B76A362-23FD-4B56-85F9-A35684321B3F
40
B2101439 2/25/2021
Value of Construction (materials and labor): $
Description of Work:
JOBSITE SUPERVISOR CONTACT INFO: Name Phone
SUBCONTRACTOR INFO: Electrical Mechanical
Plumbing Framing Roofing
Fireplace Solar 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 for Asbestos 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)
☐ 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
Phone # Email
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
3,000
Finish 3/4 bathroom where existing rough plumbing. Vent fan to outside
Small sink and shower. Add door to bathroom
Jeff Goodell 970.231.1242
Simpson Elec MGI Mechanical
Colorado Plumbing J Goodell Homes
Jeff Goodell
970.231.1242 jetgoodell@gmail.com
4
4
DocuSign Envelope ID: 7B76A362-23FD-4B56-85F9-A35684321B3F
BUILDING PERMIT APPLICATION
FOR OFFICE USE
APPLICATION NUMBER: APPLICATION DATE:
Job Site Address Unit#
PROPERTY OWNER INFO: (All owner information is required – NOT optional)
Last Name First Name Middle
Street Address City State Zip
Phone # Email
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name
License Holder Name LIC # CERT #
LEGAL INFO:
Subdivision/PUD Filing # Lot # Block # Lot Sq Ft
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft.
Residential Sq Ft Commercial Sq Ft # of Stories Bldg Ht # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft
Finished Basement Sq Ft # of Bedrooms # of Full Baths
¾ Baths ½ Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ☐ UA (ResCheck) ☐ SPA (Simulated Performance
Alternative) ☐ Prescriptive ☐ ERI (Energy Rating Index) ☐
Air Conditioning? YES ☐ NO ☐
City of Fort Collins Approved Stock Plan # SP0 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? Yes ☐ No ☐
If yes, please describe:
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
209 Egyptian Court
Ellison Kathleen
201 W 8TH ST Chandler OK 74834
405.328.1962 ellisonkat@aol.com
J Goodell Homes
Jeff Goodell D-800
SHENANDOAH PUD 43 9,583
312 0
1
4
DocuSign Envelope ID: 7B76A362-23FD-4B56-85F9-A35684321B3F
Value of Construction (materials and labor): $
Description of Work:
JOBSITE SUPERVISOR CONTACT INFO: Name Phone
SUBCONTRACTOR INFO: Electrical Mechanical
Plumbing Framing Roofing
Fireplace Solar 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 for Asbestos 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)
☐ 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
Phone # Email
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
3,000
Finish 3/4 bathroom where existing rough plumbing. Vent fan to outside
Small sink and shower. Add door to bathroom
Jeff Goodell 970.231.1242
Simpson Elec MGI Mechanical
Colorado Plumbing J Goodell Homes
Jeff Goodell
970.231.1242 jetgoodell@gmail.com
4
4
DocuSign Envelope ID: 7B76A362-23FD-4B56-85F9-A35684321B3F