HomeMy WebLinkAbout1805 SHEELY DR - PERMITS - 3/3/2021Owner:CAUDLE KENNETH R
1805 SHEELY DR
FORT COLLINS,CO 80526-1941 Phone:970-286-7938
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:
#of stories:Occ Group:Const Type:V-B
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:SCHALK,JEFFREY SCOTT
FORT COLLINS,CO 80521 License #:ENG-50371
Phone:
Supervisor cert #:
Subcontractor(s)Phone License Number
Work Description:Repair of damaged ridge beam and rafters on one story home caused by fallen tree.Repairs per Engineer's and
Architect's specifications.Adjacent roofing,fascia,drip edge and soffits will be repaired as required for construction and will match
undisturbed surfaces.Homeowner Affidavit on file.
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:206 200 202 204 100 101 102 203 205 201 207 303 301 300 302
TOTAL FEES PAID AS OF 03/03/21:$310.25 Payment method:Credit Card 0794
**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 #:B2101491
Issued Full:03/03/2021
Permit Type:Residential Alteration
Site Address:1805 SHEELY DR
Job Valuation:$5,000.00 Category:Residential Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #0794 03/03/2021 $310.25
Receipt issued:03/03/2021 Total Paid to Date:$310.25
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee w/Subs 1000.422010 $130.95 $130.95 03/03/2021 $0.00
City Sales/Use Tax 251.122030 $96.25 $96.25 03/03/2021 $0.00
County Sales/Use Tax 100.217030 $20.00 $20.00 03/03/2021 $0.00
Plan Check Fee 1000.444010 $63.05 $63.05 03/03/2021 $0.00
TOTAL FEES:$310.25 $310.25 $0.00
TOTAL BALANCE DUE AS OF 03/03/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2101491
Issued Full:03/03/2021
Permit Type:Residential Alteration
Site Address:1805 SHEELY DR
Job Valuation:$5,000.00 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 տտ NO ܆܆
City of Fort Collins Approved Stock Plan # SP0 List Option #s
UTILITIES INFO: Gas տտ Electric ܆܆ Electric Temp. Pedestal Yes ܆܆No ܆܆
Electric Main Breaker Size (Residential Only): 150 amp or less ܆܆ 200 Amp ܆܆ Other տտ
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. xx Fort Collins, CO 80524 x Phone: 970.416.2740 x www.fcgov.com/building
1805 Sheely Drive, Fort Collins, CO 80526
CAUDLE KENNETH R
1805 SHEELY DRIVE FORT COLLINS CO 80526
970-286-7968 KENCAUDLEPE@GMAIL.COM
SPRING VALLEY 1 23/24 25431
2279 1250
2279 1 14 1
2279
2279 5 2
12
✔
✔
✔
B2101491 2/26/2021
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).
տ I do not know if an asbestos inspection has been conducted on this property.
տ An asbestos inspection has been conducted on this property on or about (enter date)
տ 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
5,000.00
Repair of a damaged ridge beam and rafters from a tree fall. Adjacent roofing, fascia,
drip edge and soffits will be repaired as required for construction and will match the undisturbed surfaces.
Kenneth Caudle 970-286-7968
11/10/2020
Ken Caudle Digitally signed by Ken Caudle
Date: 2021.02.26 12:27:19 -07'00'KENNETH R. CAUDLE
970-286-7968 KENCAUDLEPE@GMAIL.COM
✔
City of ktColli�s Building Services PO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax
HOMEOWNER AFFIDAVIT
1, U\:H:\�11--\ crw�� , as owner of record of the property located at:
�l �o _o_c:5 __ 5�+1.�B-� __ :-1 __ 1)�(1._..,-\ V_G _____ , 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 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 prjmary residence.
OPTION 3: PERMITED WORK ON A TT ACHED 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
The foregoing Affidavit was acknowledged before me on this __ 2S���-____ day of
� '202.\ (month, year) bY ...... V:-.'/6=--'--�-1-£-=-aJ1t ........... _J?%�=+--C ..... ,A:<,.,C_�{)LE�----�
My commission expires: c..--� �) Witness my hand and official seal �/ fl l . l 11
Notary p�
KA:rHERINE l. N'EFF
NOTARY PUBLIC
STATE OF COLORADO
NOTARY ID 20194045644
MY COMMISS!ON F:XP1RES DECEMBER 6, 2023 Revised 10/19/2020
B2101491