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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