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Home My WebLink About4426 FOX GROVE DR - PERMITS - 2/4/2021Owner:DELANEY DONALD/TARA 4426 FOX GROVE DR FORT COLLINS,CO 80524-6089 Phone:646-457-1044 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 #:12 Block #: Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:600 #of stories:Occ Group:Const Type: Fire Sprklr:Stock plan #:Stock plan options: Contractor:POEHLMANN CONSTRUCTION 1642 FANTAIL CT FORT COLLINS,CO 80528 License #:C1-131 Phone:970-278-1930 Supervisor cert #:1366-C1 Subcontractor(s)Phone License Number Electrical:GREGORY ELECTRIC 970-669-7609 ME-404 Mechanical:ALL SEASON HEATING &AIR C 970-493-7001 H-1701 Plumbing:COLORADO PLUMBING INC 970-484-9922 MP-413 Work Description:Basement finish of 600 square feet to include family room,1 bedroom and 3/4 bathroom.Job Contact: 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 02/04/21:$713.00 Payment method:Credit Card 5303 **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 #:B2100826 Issued Full:02/04/2021 Permit Type:Basement Finish Site Address:4426 FOX GROVE DR Job Valuation:$24,000.00 Category:Residential Remodel Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #5303 02/04/2021 $713.00 Receipt issued:02/04/2021 Total Paid to Date:$713.00 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $462.00 $462.00 02/04/2021 $0.00 County Sales/Use Tax 100.217030 $96.00 $96.00 02/04/2021 $0.00 Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/04/2021 $0.00 TOTAL FEES:$713.00 $713.00 $0.00 TOTAL BALANCE DUE AS OF 02/04/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2100826 Issued Full:02/04/2021 Permit Type:Basement Finish Site Address:4426 FOX GROVE DR Job Valuation:$24,000.00 Category:Residential Remodel Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 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 4426 Fox Grove Dr Delaney Donald/Tara 4426 Fox Grove Dr Fort Collins CO 80524 (646) 457-1044 taraedelaney@gmail.com Poehlmann Construction Harry Poehlmann C1-131 1366-C1 Fox Grove 12 600 1 0 1 0 0 4 B2100826 02.02.2021 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 24,000 Basement finish with Family Room, bedroom and one 3/4 bathroom; unfinished mechanical/storage room Shawn Arnold (970) 567-0026 Gregory Electric All Seasons Heating & Air Colorado Plumbing Poelmann Const N/A N/A N/A N/A Tara L. Buckner Digitally signed by Tara L. Buckner Date: 2021.02.02 09:06:13 -07'00'Tara Buckner (970) 233-9300 tara@basements4you.com 4