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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