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Home My WebLink About2138 MAID MARIAN CT - PERMITS - 2/24/2021 City ®1 Community Development&Neighborhood Services Fort 281 N. College Ave Fort Collins, CO 80522 Collins 970.221.6760 970.224.6134 -fax Building Permit#: B2100957 ' Issued Full: 02/24/2021 Permit Type: Basement Finish Site Address: 2138 MAID MARIAN CT Job Valuation: $30,000.00 Category: Residential Remodel Owner: HAYES WANDA J/JAMES E/ROBERT E 2138 MAID MARIAN CT FORT COLLINS, CO 80524 Phone. 970-430-2299 Zoning: Front setback: Rear setback: Right setback: Left setback. Minor Amend#. Plat File#. ZBA Case#t Zoning district: LMN-LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD. Filing#. Lot#. 60 Block#k Code: Res sq ft: 0 Corn sq ft. Ind sq ft: Basement sq ft: 1000 # of stories Occ Group Const Type Fire Sprklr Stock plan #. Stock plan options. Contractor: License#. Supervisor cert#. Phone Subcontractor(s) Phone License Number Electrical YORK ELECTRICAL SERVICES L 970-632-0323 ME-1396 Plumbing. PATRICK PLUMBING & HEATING 970-225-2282 MP-254 Work Description. Basement finish of 1000 sf to include 2 bedrooms, and 3/4 bathroom 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 201 204 203 302 102 205 200 202 207 303 301 300 TOTAL FEES PAID AS OF 02/24/21: $852.50 Payment method: Check 1113 **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 Fcrt Collins 970.221.6760 970.224.6134 -fax Building Permit##: B2100957 Issued Full: 02/24/2021 Permit Type: Basement Finish Site Address: 2138 MAID MARIAN CT Job Valuation: $30,000.00 Category: Residential Remodel Transactions Method Check Number Date Paid Amount Paid Comments Check CK#1113 02/08/2021 $852.50 Receipt issued: 02/24/2021 Total Paid to Date: $852.50 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $577 50 $577 50 02/08/2021 $0 00 County Sales/Use Tax 100.217030 $120 00 $120 00 02/08/2021 $0 00 Permit Flat Fee -$155 1000 422010 $155.00 $155.00 02/08/2021 $0 00 TOTAL FEES: $852.50 $852.50 $0.00 TOTAL BALANCE DUE AS OF 02/24/2021: $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 City of,Fort Collins COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES 281 N.College Ave. • Fort Collins,CO 80524 • Phone:970.416.2740 • www.fegov.com/building BUILDING PERMIT APPLICATION FOR OFFICE USE IAPPLICATION NUMBER: APPLICATION DATE: a/f/. Site-Addressaw. Unit# PROPERTY_OWNER I 01: (All owner information is required—NOT optional) Last Name Ay e.5 First Name 1p v Middle Street Address '/jff sW,p/9/ji,,pe/A ity9 A/5 State e� Zip(9,e7_,ca Phone# f, fad Z Email //A e,56.0,'S Sq 94j7Gd Name of Business(COMMERCIAL USE ONLY) CONTRACTOR INFO: ,Company Name erz_041� 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 /600 (#-Cif.Bedrabms .2- ,#of•Full Baths /`Baths f C%Baths,_ [#"Fireplaces7 Co 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 0 Electric 0 Electric Temp. Pedestal Yes ❑ No ❑ Electric Main Breaker Size(Residential Only): 150 amp or less 0 200 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 0 No ❑ If yes, please describe: Value of Construction (materials and labor): $ f7 Description of Work: �ddn � J JOBSITE SUPERVISOR CONTACT INFO: Name i 4,7-7?--,A. .1.44 &S Phone 93.e3 22 ' SUBCONTRACTOR INFO: Electrical aoe.,k,6-f 6.7Q`. / nical fZe S'— 'j MIS 1 Plumbing /^ `d Framing ejne.,lTi,N/eTz_._ Roofing /1/ L,,e_ 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 6_-�`•`" Type or Print Name As ,e_717/.70 I�CS i; Phone# P76 5 5 -2 21 mail `jQs lcjSS THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE City of Building Services Fort Collins PO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax /� ,�! HOMEOWNER AFFIDAVIT 1 , /�-1�,6 U , <:.:, , as owner of record of the property located at: z/, g' 7/n7 1�ns.�iQ././ C'_� , Fort Collins, Colorado, hereby declare and attest to the following: (please check only the one that applies): OPTION 1: CONSTRUCTION OF NEW HOME ❑ 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 XI 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. ❑ I am acting on my behalf for the purpose of obtaining a building permit and personally constructing a non- structural alteration to my attached single family dwelling unit.The house to be altered is my personal primary 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 FortCollins. 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 ner 1.02 The foregoing Affidavit was ackno ledged before me on this day of ��✓l'IJGIY/f?O2 f (month,year)by ! A?er'7L i• A-Ayps Witness my hand and official seald----• My commission expires: -. Nola c coH�N`-A F TZ°Grz°G Notary Public Staip#f20°74008848 1\1 V r s r12 27 2021 fission Exc My Comm � ,..,� . Revised 10/19/2020 Building Services City of 281 N.College Ave. ,,,Fort Collins P.O.Box 580 Fort Collins,CO 80524 Voice:970.416.2740 FAX:970.224.6134 HOMEOWNER AFFIDAVIT Homeowners of a DETACHED 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 roofmg. 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). (d) Replacement/installation of more than a total of one(1)square(100 square feet)of roofmg. Revised 10/19/2020