HomeMy WebLinkAbout250 N MASON ST - PERMITS - 1/12/2021Owner:CITY OF FORT COLLINS
PO BOX 580
FORT COLLINS,CO 80522-0580 Phone:970-221-6801
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:D -DOWNTOWN DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:1 Block #:
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:
#of stories:Occ Group:B Const Type:V-B
Fire Sprklr:No Stock plan #:Stock plan options:
Contractor:AMERICAN CONTRACTING,LLC
3131 S.College Ave.,Ste.B
Fort Collins,CO 80525
License #:C1-302
Phone:970-568-9807
Supervisor cert #:2172-C1
Subcontractor(s)Phone License Number
Electrical:BRIAN'S ELECTRIC CO LLC 970-484-5085 ME-131
Mechanical:AIR COMFORT,INC.970-490-1458 H-1321
Plumbing:INDEPENDENT PLUMBING SOLUT 970-566-1377 MP-610
Work Description:Minor interior demo of 200 square feet for the City of Fort Collins to install (2)new unisex ADA accessible staff
restrooms including architectural finishes,mechanical,electrical and plumbing work.Job Contact:David Bode 970-568-9807
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:205 102 402 207 101 202 401 100 303 206 105 104 203 201 200 204 301
300 302 103 400
TOTAL FEES PAID AS OF 01/12/21:$1,377.01 Payment method:Journal Entry
**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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2013630
Issued Full:01/12/2021
Permit Type:Com,Ind or Mixed Use Alteration
Site Address:250 N MASON ST
Job Valuation:$78,753.00 Category:Commercial Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Journal Entry 12/21/2020 $1,377.01
Receipt issued:01/12/2021 Total Paid to Date:$1,377.01
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $929.48 $929.48 12/21/2020 $0.00
Plan Check Fee 1000.444010 $447.53 $447.53 12/21/2020 $0.00
TOTAL FEES:$1,377.01 $1,377.01 $0.00
TOTAL BALANCE DUE AS OF 01/12/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2013630
Issued Full:01/12/2021
Permit Type:Com,Ind or Mixed Use Alteration
Site Address:250 N MASON ST
Job Valuation:$78,753.00 Category:Commercial Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of k:-Colli�s COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OHIC( US(
PPLICATION NUMBER: APPLICATION DATE:
Job Site Address OTC 250 N. Mason Street Ft Collins
PROPERTY OWNER INFO: (All owner information is required -NOT optional)
Last Name Hergott First Name Brian Middle
Unit#
Street Address 300 Laporte Ave City Ft Collins State __ Zip __ _
Phone# 970-221-6804 Email bhergott@fcgov.com __ -"C..._____.:=-._-='------------------
N am e of Business 1coMMERaAL usE ONLYJ CFC Operation Services
___ ...!_. ___________________ _
CONTRACTOR INFO: Company Name American Contracting, LLC
License Holder Name David Bode UC# 4399 CERT# 2172-C1
LEGAL INFO:
Subdivision/PUD ____ Filing# ---Lot# Block# Lot Sq Ft
CONSTRUCTON INFO: Total Building Sq Ft (NOT inclu ding 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 O UA (ResCheck) 0
# Fireplaces
SPA(Simulated Performance O Prescriptive □Alternative)
Air Conditioning? YES � NO 0
ERl(Energy Rating Index) 0
City of Fort Collins Approved Stock Plan # SPO List Option #s ____________ _
UTILITIES INFO: Gas II Electric □ Electric Temp. Pedestal Yes
Electric Main Breaker Size (Residential Only): 150 amp or less D 200 Amp
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
For Commercial remodels and tenant finishes, elease answer the following questions:
Is the remodel/tenant finishes for an existing or new tenant? (Please check one)
Existing Tenantliil New Tenant □
If for a new tenant, is this the first tenant to occupy this space?
0 No 0
D Other D
Yes D No D If not for the initial tenant for this unit, what was the previous use of this tenant space?
Yes D No El Are there any exterior building changes (including mechanical) associated with the work?
If yes, please describe: ------------------------------
B2013630 12.17.2020
B
B2013630B2013630