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Home My WebLink About5909 PINEY CREEK DR - PERMITS - 2/17/2021Owner:BROUGH DAVID/KENDREE 5909 PINEY CREEK DR FORT COLLINS,CO 80528-0000 Phone:801-201-1643 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 #:4 Block #:9 Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:879 #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 879 sq ft to include 2 bedrooms,1 full bathroom,living room and wet bar.NO COOKING APPLIANCES TO BE INSTALLED.Homeowner affidavit on file.Job contact:David Brough 801-201-1643 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 02/17/21:$774.23 Payment method:Credit Card 2733 **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 #:B2101078 Issued Full:02/17/2021 Permit Type:Basement Finish Site Address:5909 PINEY CREEK DR Job Valuation:$26,633.70 Category:Residential Remodel Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #2733 02/17/2021 $774.23 Receipt issued:02/17/2021 Total Paid to Date:$774.23 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $512.70 $512.70 02/17/2021 $0.00 County Sales/Use Tax 100.217030 $106.53 $106.53 02/17/2021 $0.00 Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/17/2021 $0.00 TOTAL FEES:$774.23 $774.23 $0.00 TOTAL BALANCE DUE AS OF 02/17/2021:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2101078 Issued Full:02/17/2021 Permit Type:Basement Finish Site Address:5909 PINEY CREEK DR Job Valuation:$26,633.70 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 k;_Soll� COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N.. College Aw. • Foll Colrms, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building bPPLICATION NUMBER: BUILDING PERMIT APPLICATION APPUCATION DATE: Job Site Address 5909 Pmney Creek Dr. Fort Collins, CO, 80528 PROPERTY OWNER INFO: (AH owner information is required -NOT optional) Last Name Brough first Name David Middle ---------- Unit# Street Address 5909 Piney Creek Dr aty Fort Collins State co Zip 80528 Phone# 801-201-1643 Email david.brough@gmail.com Na me of Business (COMMEROAL USE ONLY) CONTRACTOR INFO: Company Name --------------------------License Holder Name UC# CERT# LEGAL INFO: Subdivision/PUD Filing ff Lot# Block# lot Sq Ft ----------------CONSTRUCTON INFO: Total Building Sq ft {NOT inciuding basement)Total Garage Sq. Ft. ------Residential Sq Ft Commercial Sq Ft #ofStories __ Bldg Ht #of Dwelling Units __ _ 1st Floor Sq Ft 2nd floor Sq H 3rd Floor Sq Ft Unfinished Basement Sq Ft Finished Basement Sq Ft 900 #of Bedrooms 2 #ofFullBaths 1 ----- ---------% Baths O % Baths O # Fireplaces 0 @ERGY INFORMATION: (otECKONE) ---- ComCheck D UA (ResCheck) D SD& {Simulated Performance D , tt PrescriptiveO Alternative) Air Conditioning? YES f8l NO 0 ERl(Energy Rating Index) Kl /,@ity of Fort Collins Approved Stock Pian #_SPO ______ List Option #s I • -------------- UTILITIES INFO: Gas II Electric iii Electric Temp. Pedestal Yes Electric Main Breaker Size (Residential Only): 150 amp or less \ii 200 Amp ZONING INFO: (COMMERCIAL USE ONLY) Proposed Use: (i.e. medical office, bank, retail, etc.) For Commerdal 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 TenantO If for a new tenant, is this the first tenant to occupy this space? D No D D Other D Yes D No D lrf 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? If yes1 please describe: Yes D No D B2101078 2/10/2021 Value of Construction (materials and labor): $ 12,000 -------------------------Description of work: Finish basement JOBSITE SUPERVISOR CONTACT INFO: Name Phone SUBCONTRACTOR ENfO: Electrical Mechanical Plumbing Fireplace Framing Solar Roofing Other --------- ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colomdo Senate Bill 13-15,2p property owners, applying for a remodel permit shall im:iicote 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. D An asbestos inspection has been ronducted 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 contained herein and City of fort Collins ordinances and state laws regulating building construction. Applicant Signature �_,e,.,) � Typeo,-Print Name David Brough Phone# 801-201:Z �.brough.0416@gmail.com THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE $26,633.70 City of ktColli� Building Services PO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFFIDAVIT I, J)g 1.Jld �cro 61 p, r1 o/£n,� l. , as owner of record of the property located at { ree.k Rr , Fort Collins, Colorado, hereby declare and attest to the 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 l;'i. I am 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 primary 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 prjmary 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. Sign in the presence of Notary Public CDd¥c The foregoing Affidavit was acknowledged before me on this ___ fli""!---1-4,..<:4-,.---\ Ee,b .... v't'::<;£ <'2.o2. f (month, year) by ___ -+--Q_.u_· __.._,.,, __ .,.,.,__,,_<......::\-��-- Witness ":'Y �and a�d official seal {. /,1 "\r\1 ( iMy comm1ss1on expires: y.11\,lit.c.vV\. r� .ZV<..... 1 �s�Noar9Public AARON M UNDERWOOD NOTARY PUBLIC -STATE OF COLORADO NOTARY ID 20124015412 MY COMMISSION EXPIRES MAR 13, 2024 Revised 10/19/2020 B2101078