HomeMy WebLinkAbout6051 MEDLAR PL - PERMITS - 2/8/2021Owner:FALKENBERG ROBERT J/KAREN L
6051 MEDLAR PL
FORT COLLINS,CO 80528-0000 Phone:678-576-4444
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 #:10 Block #:4
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:630
#of stories:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:RAM'S PLUMBING INC
PO BOX 1495
FORT COLLINS,CO 80522
License #:MP-534
Phone:970-690-8997
Supervisor cert #:
Subcontractor(s)Phone License Number
Electrical:CONDUCT ALL ELECTRIC 970-631-4148 ME-1672
Mechanical:TRI CITY HEATING &AIR CON 970-493-0126 H-1980
Plumbing:RAM'S PLUMBING INC 970-690-8997 MP-534
Work Description:Basement finish of 630 sq ft to include workout room,full bathroom and seating nook.NO COOKING
APPLIANCES TO BE INSTALLED.Homeowner affidavit on file.Job contact:Bob Falkenberg 678-576-4444
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 02/08/21:$968.75 Payment method:Credit Card 2003
**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 #:B2100938
Issued Full:02/08/2021
Permit Type:Basement Finish
Site Address:6051 MEDLAR PL
Job Valuation:$35,000.00 Category:Residential Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #2003 02/08/2021 $968.75
Receipt issued:02/08/2021 Total Paid to Date:$968.75
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $673.75 $673.75 02/08/2021 $0.00
County Sales/Use Tax 100.217030 $140.00 $140.00 02/08/2021 $0.00
Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/08/2021 $0.00
TOTAL FEES:$968.75 $968.75 $0.00
TOTAL BALANCE DUE AS OF 02/08/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2100938
Issued Full:02/08/2021
Permit Type:Basement Finish
Site Address:6051 MEDLAR PL
Job Valuation:$35,000.00 Category:Residential Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of kt Collins
-�
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
PPLICATION NUMBER: APPLICATION DATE:
Job Site Address 6051 Medlar Place
PROPERTY OWNER INFO: (All owner information is required-NOT optional)
Unit#
Last Name Falkenberg First Name Robert Middle J-----------------
Street Address 6051 Medlar Place City Fort Collins State CO Zip 80528
Phone # 678-576-4444 Email bob@conceptcats.com _____ ___!_ ________________ _
Name of Business (COMMERCIAL USE ONLY)
CONTRACTOR INFO: Company Name Homeowner --------------------------
License Holder Name LIC # CERT# --------------------
LEGAL INFO:
Subdivision/PUD Kechter Farm Filing# 1 Lot# 10 Block# 4 Lot Sq Ft 10,634 ----------
CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft. ----------
Residential Sq Ft Commercial Sq Ft # of Stories BI d g Ht # of Dwelling Units -------
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft 900 --------
Finished Basement Sq Ft 630 # of Bedrooms
% Baths Yi Baths # Fireplaces
# of Full Baths
ENERGY INFORMATION: (CHECK ONE)
ComCheck D UA (ResCheck) D SPA (Simulated Performance OAlternative) PrescriptiveD ERl(Energy Rating Index) D
Air Conditioning? YES E NO D
City of Fort Collins Approved Stock Plan# SPO List Option #s ----------------------
UTILITIES INFO: Gas D Electric D Electric Temp. Pedestal
Electric Main Breaker Size (Residential Only):
ZONING INFO: (COMMERCIAL USE ONLY)
Proposed Use: (i.e. medical, office, bank, retail, etc.)
150 amp or less D
Yes
200Amp
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 TenantD New TenantD
If for a new tenant, is this the first tenant to occupy this space?
D
D
No
Other
D
D
Yes D No D If not for the initial ten ant for this unit, what was the previous use of this tenant space?
Are there any exterior building changes (including mechanical) associated with the work?
If yes, please describe:
Yes D No >I
B2100938 2/5/2021
I
Value of Construction (materials and labor): $35,000 -----'------------------------
Des c rip ti on of work: Finish basement
JOBSITE SUPERVISOR CONTACT INFO: Name Bob Falkenberg
SUBCONTRACTOR INFO: Electrical Conduct All Electric
Plumbing Ram's Plumbing Framing
Fireplace Solar
Phone 678-576-4444
Mechanical Tri-City Heating and Air
Roofing
Other
ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bi/113-152, property owners, applying for aremodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's).
D I do not know if an asbestos inspection has been conducted on this property.
D An asbestos inspection has been conducted on this property on or about (enter date)
D 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 containe e ·n and City of Fort Collins ordinances and state laws regulating building construction.
Applicant Signature
Phone#
Type or Print Name Robert J Falkenberg
Email bob@conceptcats.com -�-----------------
THIS APPLICATION EXPIRES 180 OAYS H<O;Y; APPLICATION DATE
B2100938