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Home My WebLink About4846 NORTHERN LIGHTS DR - PERMITS - 2/1/2021Owner:Maureen Howard 4846 Northern Lights Dr B FORT COLLINS,CO 80528 Phone:970-260-2732 Zoning:Front setback:Rear setback:Right setback:Left setback: Minor Amend #:Plat File #:ZBA Case #: Zoning district:HC -HARMONY CORRIDOR DISTRICT Legal:Subdivision/PUD:Filing #:Lot #:B Block #: Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:551 #of stories:Occ Group:Const Type: Fire Sprklr:Stock plan #:Stock plan options: Contractor:CASEY'S ELECTRIC,INC. 5107 Farrier Ct Loveland,CO 80537 License #:ME-1339 Phone:970-988-8497 Supervisor cert #: Subcontractor(s)Phone License Number Electrical:CASEY'S ELECTRIC,INC.970-988-8497 ME-1339 Mechanical:FRONT RANGE MOUNTAIN AIR 970-532-4010 H-1769 Plumbing:MCEVOY BROTHERS PLUMBING L 970-619-0384 MP-800 Work Description:Basement finish of 551 sq.ft.to include a bedroom,a 3/4 bath,and laundry room.Homeowner affidavit on file - MUST hire out all subs.Job Contact:Maureen Howard 970-260-2732 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 02/01/21:$620.00 Payment method:Credit Card 6394 **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 #:B2100651 Issued Full:02/01/2021 Permit Type:Basement Finish Site Address:4846 NORTHERN LIGHTS DR Job Valuation:$20,000.00 Category:Residential Remodel Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #6394 02/01/2021 $620.00 Receipt issued:02/01/2021 Total Paid to Date:$620.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $385.00 $385.00 02/01/2021 $0.00 County Sales/Use Tax 100.217030 $80.00 $80.00 02/01/2021 $0.00 Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/01/2021 $0.00 TOTAL FEES:$620.00 $620.00 $0.00 TOTAL BALANCE DUE AS OF 02/01/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2100651 Issued Full:02/01/2021 Permit Type:Basement Finish Site Address:4846 NORTHERN LIGHTS DR Job Valuation:$20,000.00 Category:Residential Remodel Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 Fort Collins COMMUNITY DEVELOPMENT &NEIGHBORHOOD SERVICES 281 N.Collega Ave.Fort Colins,Co 80524 Phone:970.416.2740 www.fegov.com/bulldlog BUILDING PERMIT APPLICATION FON OFRCE USE APPLICATION NUMBER:APPLICATION DATE: 4846 Nhia Lehls D Unit#Job Site Address PROPERTY OWNER INFO:{Allowner informationis required-NOT optional} Last Name Houard MiddleFirstName Street Adress 4SHL Mhun Lehs dr tiy t das State Lo Zip 30528 Phone#170-2t0-2732 Name of Business (coMMERCIAL USE ONLY) cONTRACTORINFO:Company Name License Holder Name Emailma 2015 Pideud.com HontasL CERT #LIC # LEGAL INFO: Subdivision/PUD CONSTRUCTON INFO:Total Building Sq Ft (NOT Including basememt) Residential Sq Ft_ 1st Floor Sq Ft Finished Basement Sq Ft %Baths Baths ENERGY INFORMATIONE (HECK ONE) Filing #Block #Lot Sq FtLot# Total Garage Sq.Ft. Bldg Ht #of Dwelling Units_#ofStoriesCommercialSqFt 2nd Floor Sg Ft SS 3rd Floor Sq Ft Unfinished Basement Sq Ft 35 #of Full BathstofBedrooms O #Fireplaces cPASimulated PerformancenComCheckUA(ResCeck)SPAternatve) Alir Conditioning?YES NO Gity of Fort Collins Approved Stock Plan #SPO PrescriptiveO ERIEnergy Rating Index) List Option #s Electric Temp.Pedestal Yes NoUTILTIESINFO Electric Main Breaker Size (Residential Only):150 amp or less 200 Amp Other ZONING INE0:(COMMERCIAL USE ONLY) Proposed Use:(i.e.medical,office,bank,retil,etc.) For Commercial remodels and tenant finishes,please answer the following guestions: Is the remodel/tenant finishes for an existing or new tenant?{Please check one) ElectricGas 0 Existing Tenant New Tenant iffor a new tenant,is this the first tenant to occupy this space? No fnot for the initial tenant for this unit,what was the previous use of this tenant space?Yes Yes NoArethereanyexteriorbuildingchanges(including mechanical)associated with the work? If yes,please describe: B2100651 2/1/2021 Value of Construction Imaterials and labor:20o00 Description of Work:Bsaastet ash Intlydes budson, lendrsy robw Apossy tł Enad) balhrsand 551 Phone 70-541-4836JOBSITESUPERVISORCONTACTINFO:Name Ecenss SUBCONTRACTOR INFO:Electrical ases Eksut Plumbing MEvey BhuS Fireplace ASBESTOS STATEMENT DISCLOSURE:In accordance with the State of Colorado Senote Bil 13-152,property owners,apphing for a remodel permi,shllindicate their awarenes about their property having been inspected for Asbestos Containing Moterios (AGMis). Mechanical Eot Rarge Mn Ar RoofingFraming OtherSolar 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 adknowledge that I have read this application and state that the above information is correct and agree to comply with all requírements pontained herein ahd City of Fort Collins ordinances and state laws regulating building construction. Applicant SignatureLlaunadAaL Mansen trwardTypeorPrintName 70-240.2732 mo2015 Ee iuod.teaEmailPhone# THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE CityofFortCollins Building Services PO Box 580 281 N College Ave Fort Collins,CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFFIDAVITlhuentnuztoasownerofrecordof the property located atMinlalta the following:(please check only the one that applies): OPTION 1:cONSTRUCTION OF NEWHOME H Uot Colis,Colorado,hereby declare and atest to lam 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 propety and will be my primary residence.I have not personally constructed any other new homes in the Fort Colins city limits within the past 24-month period. OPTION 2:PERMITTED wORK ON DETACHED SINGLE FAMILY HOME lam acting on my behalf for the purpose of obtaining a building permit and personally Constructing 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 primarvresidence. OPTION 3:PERMITED WORK ON ATTACHED SINGLE FAMILY DWELLING UNITI.am acting on my behalf for the purpose of obtaining a building permit and personally constructing a non- structural alteration to my attached single family dwelling unit The house to be altered is my personal grimarvresidence.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 FortCollins. Iam personally performing all of the work or hiring City of Fort Collins licensed trades people,or will be continuoushy supervising unpaid volunteers (see Option 3 for attached dwelings).The work is directy related to the constructon of the above referenced home. 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. understand that failure to comply with any of the above conditions may result in revocation of any pemits associated with the above Permit Application number,forfeiture of any fees that have been collected,a Stop Work Order and potentially a court summons. Sign in the pesence of Notary Public Owner day ofTheforegoingAffidavitwasacknowledgedbeforemeonthis Jonuca4 (month,year by_Aau(un Witness my hand and official seal Hao My commission expires:JOm27,20L1 Notary Public LAUREN SCHMIT Notary Pubbc-Arzona Markcopa County Commission630277 Revised 10/19/2020 My Carmmislon Exptres Jme 27,2021 B2100651