HomeMy WebLinkAbout2809 BARNSTORMER ST - PERMITS - 4/2/2021City of
k tColli~
Site Address: 2809 BARNSTORMER ST
Comm u nity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#: 82101989
Issued Full: 04/02/2021
Permit Type: Deck
Job Valuation: $5,364.00 Category: Residential Remodel
Owner: GIACOPELLI MICHAEL ROBERT
2809 BARNSTORMER ST
FORT COLLINS , CO 80524-4911 Phone: 630-251-1005
Zoning: Front setback: Rear setback: 8' -----Right setback: -----Minor Amend#: ______ Plat File#: _____ ZBA Case #:
Zoning distri ct: LMN -LOW DENSITY MIXED-USE NEI GHBORHOOD DISTRICT
Left setback:
Legal: Subdivision/PUD ________________ Filing#: Lot#: 2 Block#: 9
Code: Res sq ft 200 ----# of stories:
Fire Sprklr:
Contractor:
Subcontractor(s)
Com sq ft:
0cc Group:
Stock plan #: ___ _
------------
Ind sq ft: Basement sq ft: --------Const Type: ____________________ _
Stock plan options: ------------------
License#: Supervisor cert#:
Phone:
Phone License Number
Work Description: Construction of 200 sf deck in back of house. Homeowner affidavit on file.
SCHEDULE INSPECTIONS: *" via Text Message: 888-406-6394 ** By Phone: 970-221-6769
... Onl ine Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device : fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 101 100 203 303
TOTAL FEES PAID AS OF 04/02/21: $301.69
•• Fee Detail Displayed on Next Page
Payment method: Credit Card 0757
k. 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 ord inances. 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 beoome 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
k tColli~
Site Address: 2809 BARNSTORMER ST
Job Valuation: $5,364.00 Category: Residential Remodel
Transactions·
Method
Credit Card
Check Number
CK# 0757
Pate Paid
04/02/2021
Receipt issued: 04/02/2021 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
$301.69
$301.69
Fee Amount
$107.25
$103.26
$21.46
$69.72
$301.69
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
comments
Amount Paid
$107.25
$103.26
$21.46
$69.72
$301.69
Building Permit#: 82101989
Issued Full: 04/02/2021
Date Paid
04/02/2021
04/02/2021
04/02/2021
04/02/2021
Permit Type: Deck
Amount Due
$0.00
$0 .00
$0.00
$0.00
$0.00
TOT AL BALANCE DUE AS OF 04/02/2021:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
~~Olli~ COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. Colloge Avo. • Fort Collins, CO 80524 • Phono: 970.416.2740 • www.fcgov.com/bulldlng
BUILDING PERMIT APPLICATION
!'01:0ffletu~
PPLICATION NUMBER: Bz 1o1959 APPLICATION DATE: 311912021
Job Site Address _ _'.1-~d q be..c-.,J,l-o.J-viw:-"-="-----~...::....:_f-q_.e,----'=---.t-------Unlt#
PROPERTY OWNER INFO: (All owner information is required -NOT optional)
Last Name Cn',._co\~• First Name i,,lt,~l Middle
StreetAddress ,Z..~O't Jl,...-...4 l-<,.r-"'-U City F'o.r+-CcJl(,1._c,. State CC/Zip ~o•,2-r
Phone# _£,~-:;..5( -rOOr'° Email -~;...,,IA-e.d.~_r,U,t,o,/1"-'•U'{_,_,l!e<M='-------
Name of Business (COMMERCIAL USE ONLY) _i'Y',=h-=-------------------
CONTRACTOR INFO: Company Name )(-..n.,µ,::_ _________________ _
licenseHolderName IU/~ UC# ___ CERT# __ _
' LEGAL INFO: .a
1
-t.l0\Elft'l~'l
Subdivision/PUD fe.st-"'-,4 v'IOS4(Fillng# __ Lot# 1-Block# -1._LotSqFt S:i2">
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) IQ" '5 Total Garage Sq. Ft. ~/{.L"2£tJ"'------
Residential Sq Fl 1~"-'7, CommercialSqFt A.;lf #ofStories_l_BldgHt (~ft#ofDwellingUnits~ j__
1st Floor Sq Ft .lj_~ 2nd Floor Sq Ft ___ 3rd Floor Sq Ft ___ Unfinished Basement Sq Ft 1,{Z 6?,
Finished Basement Sq Ft N( 14-# of Bedrooms '.? # of Full Baths -='2-______ _
¾ Baths C> ½ Baths J2f" # Fireplaces _._D-,!_ __
ENERGY INFORMATION: (CHECK ONE)
ComCheck O UA (ResCheck) 0 SPA(Simulated Performance D Prescriptive □
Alternative)
Air Conditioning? YES~ NO 0
ERl(Energy Rating Index) D
City of Fort Collins Approved Stock Plan # _S_PO _____ List Option #s ____________ _
UTILITIES INFO: Gas":12(' Electric JSL'Electric Temp. Pedestal Yes
Electric Main Breaker Size (Residential Only):
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
150 amp or less D 200 Amp
For Commercial remodels and tenant finishes, please answer the following questions:
Is the remodel/tena'11nishes for an existing or new tenant? (Please check one)
Existing Tenan¥ New Tenant □
If for a new tenant, is this the first tenant to occupy this space?
~o
~Other
□
□
Yes D No D If not forthe 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 O No ¥
If yes, please describe: JJ(C,IL w,1(l v\.Ot-~ .. H-.ww:-1 or-~ e...c.\\-1":> <;~o<-1-o«_
Value of Construction (materials and laborl: $ I'\/ 1_ <;bO ----'--------------------
Des c r Ip t Ion of Work: 'tbo St c+ {)u:JJ.-w/ -ibo-f,\LS">•
JOBSITE SUPERVISOR CONTACT INFO: Name __.N-=1-fr_,___ ______ Phone 1()/-/-
SUBCONTRACTOR INFO: Electrical J1..)__ ,?r Mechanical -~llj'-",,I'----. :..;If--,__ _____ _
Plumbing J½lk Frami~;/ /4{/& Roofing -L~=-,,.../;~°"-=------
Fireplace N/ A-Solar --.t11,n::...-----Other __,;V/~14"-----
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).
0 I do not know if an asbestos inspection has been conducted on this property.
D An asbestos inspection has been conducted on this property on or about (enter date)
D 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 resulating building construction.
Applicant Signature ~a.-/.. 0-. 1-..cscef?.' •
Phone# (o s() -'). ~ l -lOO b Email
Type or Print Name i,1-t ~cl«.~ &4cc:re-ll<
-lij-~•·v\l,,'0,,.4< l@6="'-' l,cc+-,
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
------------------.. -----·"""·"· ..
City of
ktColli~
Building Services
PO Box 580
281 N College, Ave
Fort Collins, CO 80524
970-416-2740 phone 970-224-6134 fax
HOMEOWNER AFFIDAVIT
I/we, v4 ICM.r.G l fu"-ccil 1 • as owner(s) of record of the property localed
At: '2-':? 0 ~ ~ ....... si-o-1'......,-S{.r.,.,l-, Fort Collins, Colorado. hereby declare and attest
to the following: (please check only the one that applies):
OPTION t;
□ I am/ we are acting on my/ our behalf for the purpose of obtaining a building permit and
personally constructing my/our home. The home to be constructed is on the above property and
will be my/our prjmary residence. I/we have not personally constructed any other new homes
in the Fort Collins city limits within the past 24-month period.
~I am/we are acting on my/our behalf for the purpose of obtaining a building permit and
personally constructing an alteration or addition to my/our house, acting as our own general
contractor. The house to be altered is on the above property and Is my/our personal prjmary
residence.
OPTION3;
□ I am/we are acting on my/our behalf for the purpose of obtaining a building permit and
personally constructing a non-structural alteration to my/our attached single family dwelllng
unit. The house to be altered Is my/our personal primary residence. I am aware that I/we
cannot do any structural, electrical, plumbing or mechanical work and must hire
contractors/subcontractors who are currently licensed and insured with the City of Fort Collins.
I am/we are personally performing all of the work or hiring City of Fort Collins licensed trades people, or will be
continuously supervising unpaid volunteers (see Oplion 3 for attached dwellings). The work is directly related
to the construction of the above referenced home.
I/we understand that any person(s) or agent(s) contracted to perform structural wood-framing, plumbing.
HVAC, electrical or roofing work, MUST BE licensed contractors in accordance with the regulation of the City
of Fort Collins.
I/we understand that failure to comply with any of the above conditions may result in revocation of any permits
associated with the above Permit App5cation number, forfeiture of any fees that have been collected, a Stop
Work Order and potentially a court summons.
Sign In the presenc• of Notary Public
Co-ownar
The foregoing Affidavit was acknowledged before me on this. __ -'-'! G.,.n,__ ___ day of
(month, year) by (hilbuc.l ~i9Wpcu:
Witness my hand and official •~al
My commission expires: O!i 1'\I ?(JL ~ ,----------, BRITTANY BOBB
NOTARY PUBUC
STATE OF COI.ORAOO
NOTARY ID 2021M021151t
MY COMMISSION EXPIRES Ol-1a-20Z4
Notary Public
Revised 6/10/2014