HomeMy WebLinkAbout5727 BIG CANYON DR - PERMITS - 2/16/2021 City of Community Development&Neighborhood Services
F6rt281 N. College Ave Fort Collins, CO 80522
Collins 970.221.676o 970.224.6134 -fax
Building Permit#: B2101213
Issued Full: 02/16/2021
Permit Type: Basement Finish
Site Address: 5727 BIG CANYON DR
Job Valuation: $28,482.00 Category: Residential Remodel
Owner: BEAKE JOHN JOSEPH/BERTA GISPERT
5727 BIG CANYON DR
FORT COLLINS, CO 80528 Phone: 970-590-5604
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#: 17 Block#: 1
Code: Res sq ft: 0 Corn sq ft: Ind sq ft: Basement sq ft: 940
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: License#: Supervisor cert#:
Phone:
Subcontractor(s) Phone License Number
Electrical: T'S ELECTRIC LTD 970-224-5898 ME-533
Mechanical: R & H HEATING &AIR CONDIT 970-226-3619 H-4091(RR)
Plumbing: AGGIE PLUMBING &SERVICE 1 970-226-9979 MP-515
Work Description: Basement finish of 940 sf to include 1 bedroom, living area with wet bar (NO COOKING APPLIANCES), and full
bathroom. Homeowner affidaviton 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: 201 204 203 302 102 205 200 202 207 303 301 300
TOTAL FEES PAID AS OF 02116/21: $817.21 Payment method: Credit Card 6312
* 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.
Signature: Print Name: Date:
Form Revised Oct 2010
City
of
Community Development&Neighborhood Services
281 N. College Ave Fort Collins,CO 80522
Fort Collins 970.221.676o 970.224.6134 -fax
Building Permit#: B2101213
Issued Full: 02/16/2021
Permit Type: Basement Finish
Site Address: 5727 BIG CANYON DR
Job Valuation: $28,482.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#6312 02/16/2021 $817.21
Receipt issued: 02/16/2021 Total Paid to Date: $817.21
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $548.28 $548.28 02/16/2021 $0.00
County Sales/Use Tax 100.217030 $113.93 $113.93 02/16/2021 $0.00
Permit Flat Fee -$155 1000.422010 $155.00 $155.00 02/16/2021 $0.00
TOTAL FEES: $817.21 $817.21 $0.00
TOTAL BALANCE DUE AS OF 02/1612021: 0.00
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of „c COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
Fort Collins
281 N.College Ave. • Fort Collins,CO 80524 • Phone:970.416.2740 • www.fcgov.com/building
BUILDING PERMIT APPLICATION
FOR OFFICE USE
1APPLICATION NUMBER: yos
APPLICATION DATE: 2A;'2�L1
Job Site Address Unit#
5-7 27 '�1 G CaII�yO�) l�)2 �'��cc�c�i I►.).f �o Sze
PR E TY�OWNER INFO: (All owner information is required-NOT optional)
Last Name First Name 8ptorl - Middle
Street Address 6:IZI jgiG c4kryptj ,_City cFbw!T- c.cx"-rwjJ State _Zip IUS�
Phone# 4170.S9d.Sso4 Email j�aer'fcgkp�lzi�,;�.Ca�r,
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 #Iof Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft �3 O�}
Finished Basement Sq Ft � #of Bedrooms #of Full Baths l
Baths % Baths # Fireplaces 165;—
ENERGY INFORMATION: (CHECK ONE)
ComCheck ❑ UA(ResCheck) ❑ SPA(Simulated Performance ❑ Prescriptive❑ ERI(Energy Rating Index) ❑
Alternative)
Air Conditioning? YES ❑ NO ❑
City of Fort Collins Approved Stock Plan# SPO 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:
Value of Construction (materials and labor): $ �j G��� c90
Description of Work:
JOBSITE SUPERVISOR CONTACT INFO: Name Phone
SUBCONTRACTOR INFO: Electrical -S � ����� Mechanical
Plumbing raming � �Y' 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,propertyhaving 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 Signatures t Type or Print Name
Phone# g ID 97y.Shp¢ Email itJ���YLud. Cows
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of Building Services
PO Box 580
Fort Collins 281 N College Ave
Fort Collins, CO 80524
970-416-2740 phone 970-224-6134fax
HOMEOWNER AFFIDAVIT
I/we, *Se2-1-A 5E-A!< , as owner(s) of record of the property located
At: 021 '-ti6 CAN HD" Fort Collins, Colorado, hereby declare and attest
to the following: (please check only the one that applies):
OPTION 1:
❑ 1 am/we are acting on my/our behalf for the purpose of obtaining a building permit and
personally constructing my/our home. The home to be constructed is on the above property and
will be my/our primary residence. I/we have not personally constructed any other new homes
in the Fort Collins city limits within the past 24-month period.
OPTION 2:
I am/we are acting on my/our behalf for the purpose of obtaining a building permit and
personally constructing an alteration or addition to my/our house, acting as our own general
contractor. The house to be altered is on the above property and is my/our personal.Primary
residence.
OPTION 3:
❑ 1 am/we are acting on my/our behalf for the purpose of obtaining a building permit and
personally constructing a non-structural alteration to my/our attached single family dwelling
unit. The house to be altered is my/our personal primary residence. I am aware that I/we
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/we are 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, which is described more fully on Permit Application#
(obtained from the Building Services office).
I/we 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/we 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 Nootaryrr Public
��2f�-
wner Co-owner
The foregoing Affidavit was acknowledged before me on this /I day of
r 2D (month, year) by
1
Witness my hand and official seal
My commission expires:
Notary P
=D2
RTZOG
blic
orado Revised 611012014
4008848
res 02-27-2021
Building Services City of
281 N.College Ave.P.O.Box 580 F®rt Collins
Fort Collins,CO 80524
Voice:970.416.2740 FAX:970.224.6134
HOMEOWNER AFFIDAVIT Revised 7/7/2014
Homeowners of a DEATCHED single-family home may personally perform and/or act as their own general contractor for any work
on their PRIMARY residence.Permit requirements are applicable. If said homeowner hires and pays anyone for work that requires a
City licensed contractor,the City licensed contractor needs to be listed on the building permit application, and will need to be current
on City license and insurance requirements before the building permit can be issued.
Homeowners of an ATTACHED single-family home (townhouse, condominium or duplex), may perform LIMITED "MINOR
ALTERATIONS AND REPAIRS"by City Code as follows:
"A building owner and any unpaid volunteers or paid workers employed by said owner who perform only minor alterations
and repairs to such building,provided that all such work is under the continuous personal supervision of said owner, and
further provided that no building owner, or unpaid volunteer or paid worker employed by said owner, may engage in the
following types of work without obtaining the appropriate contractor license."
Furthermore,the work must be limited to minor alterations and repairs,which, DO NOT include:
1. Any alterations/installations involving, fire-resistive assemblies, alterations to primary and secondary framework; electrical,
plumbing,or mechanical systems;and replacement of more than 100 sq.ft.of roofing.
PAID WORKERS
Regardless of ownership status,paid non-owner worker(s)or contractors performing overall project supervision MUST BE A CITY
LICENSED GENERAL CONTRACTOR. Any paid specialized trades that perform any one of the following-structural wood framing,
roofing,electrical,plumbing,or HVAC,MUST BE SUB-CONTRACTORS licensed by the City.
APPLICATIONS&PENALTIES
A homeowner acting as their own "general contractor" for work on their own primary residence, must submit a notarized City
Homeowner Affidavit form to Building Services before a building permit can be issued. Failure to comply with the above conditions
can result in a"Stop Work"order on the project,permit revocation,forfeiture of fees,and a court summons.
EXEMPTIONS
(1) Any homeowner of an attached dwelling and any unpaid volunteers or paid workers employed by said owner who perform
only minor alterations and repairs to such building, provided.that all such work is under the continuous personal supervision of
said owner, and further provided that NO homeowner of an attached dwelling, or unpaid volunteer or paid
worker employed by said owner, may engage in the following types of work without obtaining an
appropriately licensed City contractor:
(a) Alterations to the primary.or secondary structural frame work (except for the repair and replacement.of existing
window and doors, provided that such repair or replacement does not create larger openings or greater spans for
such headers);
(b) Alterations to fire-resistive assemblies as defined in the building code,
(c) Alterations to or the installation of electrical, plumbing or mechanical systems, (except for electrical/plumbing
fixture replacement in the same location as original). b
(d) Replacement/installation of more than a total of one(1)square(100 square feet)of roofing.