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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