HomeMy WebLinkAbout2642 ADOBE DR - PERMITS - 4/29/2021City of
ktColli~
Site Address: 2642 ADOBE DR
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82103165
Issued Full: 04/29/2021
Permit Type: Residential Minor Alteration
Job Valuation: $400.00 Category: Residential Remodel
Owner: COLVIN REBECCA M/PHILIP ANTHONY
2642 ADOBE DR
FORT COLLINS, CO 80525
Zoning: Front setback: Rear setback:
Phone: 970-689-1616
Right setback: -----Left setback:
Minor Amend#: ______ Plat File#: _____ ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block#·. --------
Code: Res sq ft: o Com sq ft:
# of stories: ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Contractor: WALKER PLUMBING LLC
320 ROCK BRIDGE DR
WINDSOR, CO 80550
Subcontractor(s)
Electrical: T J'S ELECTRIC
Plumbing: WALKER PLUMBING LLC
Ind sq ft: ______ Basement sq ft: _______ _
Const Type: .,.,---------------------Stock plan options: ------------------
License#: MP-873 Supervisor cert#:
Phone: 970-424-2712
·Phone
970-573-9169
970-424-2712
License Number
ME-1787
MP-873
Work Description: Moving dishwasher to opposite side of the kitchen and update outlet in kitchen. Homeowner affidavit on file.
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: 102 205 200 202 204 303 302 203 301 201 300 207
TOTAL FEES PAID AS OF 04/29/21: $43.05 Payment method: Cash
.,,,,, 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 Jaws 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.
Signature: _____________ Print Name: ____________ Date: ______ .,,.---,---
Form Revised Oct 201 O
Cityof
ktColli~
Site Address: 2642 ADOBE DR
Job Valuation: $400.00 Category: Residential Remodel
Transactions
Method
Cash
Check Number Date Paid
04/29/2021
Receipt issued: 04/29/2021 Total Paid to Date:
Fee Description Account Code
Building Permit Fee w/Subs 1000.422010
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL FEES:
Amount Paid
$43.05
$43.05
Fee Amount
$33.75
$7.70
$1.60
$43.05
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82103165
Issued Full: 04/29/2021
Permit Type: Residential Minor Alteration
Comments
Amount Paid
$33.75
$7.70
$1.60
$43.05
Date Paid
04/29/2021
04/29/2021
04/29/2021
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 04/29/2021: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OFF/CE USE
APPLICATION NUMBER: APPLICATION DATE:
Job Site Address 2642 Adobe Drive Unit#
PROPERTY OWNER INFO: (All owner information is required -NOT optional)
Last Name Colvin First Name Rebecca Middle Marie -----------------------------
Street Address 2642 Adobe Drive City Fort Collins state CO Zip 80525
Phone# 970-689-1616 Email boudica60ad@gmail.com
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name
License Holder Name UC# 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
ENERGY INFORMATION: (CHECK ONE)
ComCheck □ UA (ResCheck) 0
Air Conditioning? YES 0
# Fireplaces
SPA (Simulated Performance O
Alternative)
NO 0
Prescriptive □
City of Fort Collins Approved Stock Plan# SPO List Option #s
ERl(Energy Rating Index) D
----------------------
UTILITIES INFO: Gas □ Electric 0 Electric Temp. Pedestal Yes
Electric Main Breaker Size (Residential Only): 150 amp or less □ 200 Amp
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?
0 No 0
D Other D
Yes 0 No D 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 D No IZl
Value of Construction (materials and labor): $_4_0_0 ______________________ _
Description of work: Moving the dishwasher to opposite side of sink during our kitchen remodel
Doing most of work for the remodel ourselves, but we'll need to contract a licensed plumber and electrician
to help us hook up our sink and dishwasher properly (Walker Plumbing & T J Electric)
Phone JOBSITE SUPERVISOR CONTACT INFO: Name
SUBCONTRACTOR INFO: Electrical
-----------------------
Plumbing Walker Plumbing
Fireplace
------------
Framing
Solar
Mechanical
Roofing
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bi/113-152, property owners, applying for a
remodel permit, shall indicate their awareness abour their property having been inspected for Asbestos Containing Materials (ACM's).
D I do not know if an asbestos inspection has been conducted on this property.
0 An asbestos inspection has been conducted on this property on or about (enter date) 2004 ---------□ 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
Phone# 970-689-1616
Type or Print Name Rebecca Colvin
Email Boudica60ad@gmail.com
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
Cityof
ktColl~
Building Services
PO Box 580
281 N College Ave
Fort Collins, CO 80524
970-416-2740 phone 970-224-6134 fax
,, , l HOMEOWNER AFFIDAVIT
I , __ ._. ---~La:..·;_<_· ·"""r_·..a.c _i--'C"". ;_~,_-_•I_., """~....;t _ .. """'·-------' as owner of record of the property located at:
-----~.:_(~(.._'t..-l._}_· ~_r_\_c_\c_·_\~::,_1._°)_ .. _t~\_(_· r_.J_"-,_) ________ , Fort Collins, Colorado, hereby declare and attest to
the following: (please check only the one that applies):
OPTION 1: CONSTRUCTION OF NEW HOME
D I am acting on my behalf for the purpose of obtaining a building permit and personally
constructing my home. The home to be constructed is on the above property and will be my
primary residence. I have not personally constructed any other new homes in the Fort Collins
city limits within the past 24-month period.
OPTION 2: PERMITTED WORK ON DETACHED SINGLE FAMI LY HOME
.li:i' I am acting on my behalf for the purpose of obtaining a building permit and personally
constructing an alteration or addition to my house, acting as my own general contractor. The
house to be altered is on the above property and is my personal prjmary residence.
OPTION 3: PERMITED WORK ON ATTACHED SINGLE FAMILY DWELLING UNIT.
□ I am acting on my behalf for the purpose of obtaining a building permit and personally constructing a non-
structural alteration to my attached single family dwelling unit. The house to be altered is my personal
prjmary residence. I am aware that I cannot do any structural, electrical, plumbing or mechanical work and
must hire contractors/subcontractors who are currently licensed and insured with the City of FortCollins .
I am pers onally performing all of the work or hiring City of Fort Collins licensed trades people, or will be continuously
supervising unpaid volunteers (see Option 3 for attached dwellings). The work is directly related to the construction of the
above referenced home.
I understand that any person(s) or agent(s) c ontracted to perform structural wood-framing, plumbing, HVAC, electrical
or roofing work , MUST BE licens ed contractors in accordance with the regulation of the City of Fort Collins.
I understa nd that failure to comply with any of the above conditions may result in revocation of any permits associated
with the above Permit Application number, forfeiture of any fees that have been collected , a Stop Work Order and
pote ntially a co urt summons.
Sign in the preseqce of Notary Public
'"') I ,. .. , '
t I
<C\l_ t~(c C'( C, v' I 1/1..-
Owner
::_)nm
The foregoing Affidavit was acknowled ged before me on this ___ V\_-_ \ ___ day of
(month, year) by____.;.}U~-'\8-=---:a(__,C,.__;· C'"'--=-CL=-_(o_) =-a,..\ V-"---"-l -'--Vl ____ _ f\vn· \ 1 o?-OJ.. \ ·
Witness my ha nd a nd offi cia l sea l
My commission expires: ~~i]t;
KIANA SADE CARTER
Notary Pub lic
State of Colorado
Notary ID# 20144039424
My Com mi ss i o n E~p ires 03-07-2023
Revis ed 10/19/2020
Building Services
281 N. College Ave.
P.O.Box580
Fort Collins, CO 80524
Voice: 970.416.2740 FAX: 970.224.6134
HOMEOWNER AFFIDAVIT
FiCityof ~tCoUins
=
Homeowners of a DETACHED single-family home may personally perform and /or act as fueir own general contractor for any work
on their PRIMARY residence. Permit requirements are applicable. If said homeowner hires and pays anyone for work that requires a
City licensed contractor, the City licensed contractor needs to be listed on the building permit application, and will need to be current
on City license and insurance requirements before the building permit can be issued.
Homeowners of an ATTACHED single-family home (townhouse, condominium or duplex), may perform LIMITED "MINOR
ALTERATIONS AND REPAIRS" by City Code as follows:
"A building owner and any unpaid volunteers or paid workers employed by said owner who peiform only minor alterations
and repairs to such building, provided that all such work is under the continuous personal supervision of said owner, and
farther provided that no building owner, or unpaid volunteer or paid worker employed by said owner, may engage in the
following types of work without obtaining the appropriate contractor license. "
Furthermore, the work must be limited to minor alterations and repairs, which, DO NOT include:
1. Any alterations/installations involving, frre-resistive assemblies, alterations to primary and secondary framework; electrical,
plumbing, or mechanical systems; and replacement of more than 100 sq. ft. of roofing.
PAID WORKERS
Regardless of ownership status, paid non-owner worker(s) or contractors performing overall project supervision MUST BE A CITY
LICENSED GENERAL CONTRACTOR. Any paid specialized trades that perform any one of the following: structural wood framing,
roofing, electrical, plumbing, or HV AC, MUST BE SUB-CONTRACTORS licensed by the City.
APPLICATIONS & PENALTIES
A homeowner acting as their own "general contractor" for w01k on their own primary residence, must submit a notarized City
Homeowner Affidavit form to Building Services before a building permit can be issued. Failure to comply with the above conditions
can result in a HStop Work" order on the project, permit revocation, forfeiture of fees, and a court summons.
EXEMPTIONS
(1) Any homeowner of an attached dwelling and any unpaid volunteers or paid workers employed by said owner who perform
only minor alterations and repairs to such building, provided that all such work is under the continuous personal supervision of
said owner, and further provided that NO homeowner of an attached dwelling, or unnaid volunteer or paid
worker emn•oved bv said owner, mav engage in the following types of work without obtaining an
appropriately licensed City contractor;
(a) Alterations to the primary or secondary structural frame work (except for the repair and replacement of existing
window and doors, provided that such repair or replacement does not create larger openings or greater spans for
such headers);
(b) Alterations to frre-resistive assemblies as defined in the building code,
(c) Alterations to or the installation of electrical, plumbing or mechanical systems, (except for electrical/plumbing
fixture replacement in the same location as original).
(d) Replacement/installation of more than a total ofone (!) square (100 square feet) ofroofing.
Revised 10/19/2020