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Home My WebLink About1221 TRUXTUN DR - PERMITS - 1/25/2021Owner:GRIFFENHAGEN GREGG 1221 TRUXTUN DR FORT COLLINS,CO 80526-9672 Phone:225-803-5652 Zoning:Front setback:Rear setback:Right setback:Left setback: Minor Amend #:Plat File #:ZBA Case #: Zoning district:LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT Legal:Subdivision/PUD:Filing #:Lot #:202 Block #: Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:493 #of stories:Occ Group:Const Type: Fire Sprklr:Stock plan #:Stock plan options: Contractor:License #: Phone: Supervisor cert #: Subcontractor(s)Phone License Number Work Description:Basement finish of 493 sq.ft.to include a family/workout room with a closet,a tv room and a full bath. Homeowner affidavit on file.Job Contact:Gregg Griffenhagen 225-803-5652 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:201 204 203 302 102 205 200 202 207 303 301 300 TOTAL FEES PAID AS OF 01/25/21:$502.30 Payment method:Credit Card 3026 **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. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2100214 Issued Full:01/25/2021 Permit Type:Basement Finish Site Address:1221 TRUXTUN DR Job Valuation:$14,937.90 Category:Residential Remodel Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #3026 01/25/2020 $502.30 Receipt issued:01/25/2021 Total Paid to Date:$502.30 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $287.55 $287.55 01/25/2020 $0.00 County Sales/Use Tax 100.217030 $59.75 $59.75 01/25/2020 $0.00 Permit Flat Fee -$155 1000.422010 $155.00 $155.00 01/25/2020 $0.00 TOTAL FEES:$502.30 $502.30 $0.00 TOTAL BALANCE DUE AS OF 01/25/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2100214 Issued Full:01/25/2021 Permit Type:Basement Finish Site Address:1221 TRUXTUN DR Job Valuation:$14,937.90 Category:Residential Remodel Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 BUILDING PERMIT APPLICATION FOR OFFICE USE APPLICATION NUMBER: APPLICATION DATE: Job Site Address Unit# PROPERTY OWNER INFO: (All owner information is required – NOT optional) Last Name First Name Middle Street Address City State Zip Phone # Email Name of Business (COMMERCIAL USE ONLY) CONTRACTOR INFO: Company Name License Holder Name LIC # 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 # Fireplaces ENERGY INFORMATION: (CHECK ONE) ComCheck ☐ UA (ResCheck) ☐ SPA (Simulated Performance Alternative) ☐Prescriptive ☐ERI (Energy Rating Index) ☐ Air Conditioning? YES ☐ NO ☐ City of Fort Collins Approved Stock Plan # SP0 List Option #s UTILITIES INFO: Gas ☐ Electric ☐ Electric Temp. Pedestal Yes ☐ No ☐ Electric Main Breaker Size (Residential Only): 150 amp or less ☐ 200 Amp ☐ Other ☐ 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? Yes ☐No ☐ 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? Yes ☐ No ☐ If yes, please describe: COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building 1221 Truxtun Dr Griffenhagen Gregg Mitchell 1221 Truxtun Dr Fort Collins CO 80526 225-803-5652 Gregg_Griffenhagen@me.com NA Registry Ridge 1st 202 5614 1 63 493 0 1 0 0 0 4 4 4 B2100214 1/12/2021 Value of Construction (materials and labor): $ Description of Work: JOBSITE SUPERVISOR CONTACT INFO: Name Phone SUBCONTRACTOR INFO: Electrical Mechanical Plumbing Framing Roofing Fireplace Solar Other 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). ☐I do not know if an asbestos inspection has been conducted on this property. ☐An asbestos inspection has been conducted on this property on or about (enter date) ☐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 Type or Print Name Phone # Email THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE 14,937.90 Basement Finish - Insulate perimeter walls, Install electrical, frame interior partition around mechanical, install full bath. Existing DWV rough plumbing and HVAC to stay, electrical to tie in with existing. Homeowner 225-803-5652 NA NA NA NA Gregg Griffenhagen 225-803-5652 gregg_griffenhagen@me.com 4 City of ktColli�s Building ServicesPO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFFIDAVIT I ' c� e;j }I/ c; C I tG: e,y � � e (\ J ' as owner of record of the property located at: i ��/ TC:11 x.±1101 De , Fort Collins, Colorado, hereby declare and attest tothe 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 FAMILY HOME A I am acting on my behalf for the purpose of obtaining a building permit and personallyconstructing 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. D I am acting on my behalf for the purpose of obtaining a building permit and personally constructing a nonstructural alteration to my attached single family dwelling unit. The house to be altered is my personal primary 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 Fort Collins. I am personally 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) 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 understand 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 potentially a court summons. blic The foregoing vit was acknowledged before me on this _________ day of ( T� (month, year) bY....L.:::t.Lf!Lt.:)!4-1:�..L:t=.'+1��'-----Witness my hand and official seal My commission expires: J / I '1 I ?o� AMY MARSO NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20164010936 MY COMMISSION EXPIRES March 17. 2024 Revised 10/1912020 B2100214