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Home My WebLink About4063 HARRINGTON CT - PERMITS - 4/8/2021City of k tColli~ Site Address: 4063 HARRINGTON CT Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2102609 Issued Full: 04/08/2021 Permit Type: Basement Finish Job Valuation: $44 177.40 Category: Residential Remodel Owner: RICE JOSHUA/ELLA 4063 HARRINGTON CT FORT COLLINS, CO 80525-7605 Phone: 719-322-5686 Zoning: Fron t setback: ______ Rear setback: _____ Right setback ____ _ Left setback: Minor Amend#: ______ Plat File#: _____ ZBA Case #: Zoning district LMN -LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT Leg a l: Subdivision/PUD : Lot#: 15 Block#: ________________ Fil ing#: -------- Code : Res sq ft o ----# of stories: Fire Sprklr Contractor: Subcontractor(s) Com sq ft: 0cc Group: Stock plan #: ___ _ Ind sq ft: Basement sq ft 1215 --------Const Type: ---------------------Stock plan options: ------------------ License#: Superviso r cert# Phone : Phone License Number Work Description : Basement finish of 1215 sfto incl ude 2 bedrooms, f ul l ba t hroom, and family room. Homeowner affidavit on file. SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone : 970-221-6769 ** Online Porta l: fcgov .com/CitizenAccess ** Online Porta l 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 04/08/21: $1.182.12 Payment method: Credit Card 7042 ** 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 info rmation. This permit shall become null and vo id if the wor k authorized by such permit is not commenced , suspended, abandoned or not inspected within 180 days from the date of such permit Carbon Monoxide A larm requ ired within 15 feet of each bedroom entrance. Signature: _____________ PrintName: ____________ Date: __________ _ Form Revised Oct 2010 City of ,ktColli~ Site Address: 4063 HARRINGTON CT Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2102609 Issued Full: 04/08/2021 Permit Type: Basement Finish Job Valuation: $44,177.40 Category: Residential Remodel Transactions Method Chei;;k Number Date Paid Credit Card CK# 7042 04/08/2021 Receipt issued: 04/08/2021 Total Paid to Date: Fee Descri~tion Account Code City Sales/Use Ta x 251.122030 County Sales/Use T ax 100.217030 Perm it Flat Fee -$155 1000.422010 TOTAL FEES: Amount Paid Comments $1,182.12 $1,182.12 Fee Amount Amount Paid Date Paid $850 .41 $850.41 04/08/2021 $176 .71 $176.71 04/08/2021 $155.00 $155.00 04/08/2021 $1,182.12 $1,182.12 TOT AL BALANCE DUE AS OF 04/08/2021: Amount Due $0.00 $0.00 $0.00 $0.00 Fee Amounts are valid for date of this document only . Fees subject to change without notice. Form Revised Oct 201 O City of k tColl~ 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 4063 Harrington Court Unit# N/A PROPERTY OWNER INFO: (All owner information is required -NOT optional) Last Name Rice First Name Joshua Middle S ----------------- Street Address 4063 Harrington Court City Fort Collins State CO Zip 80525 Phone # 7193225686 Email joshuascottrice@gmail.com ---------------------- Name of Business (COMMERCIAL USE ONLY) N/A ------------------------- CONTRA CT OR INFO: Company Name Homeowner -------------------------- License Holder Name LIC# CERT# LEGAL INFO: Subdivision/PUD ENGLISH RANCH SOUTH PUD 3RD Filing# -Lot# 15 Block# -Lot Sq Ft 6238 ------ CONSTRUCTON INFO: Total Building Sq Ft (NOT including basement) Total Garage Sq. Ft. ---------- Residential Sq Ft ____ Commercial Sq Ft O # of Stories 1 Bldg Ht ___ # of Dwelling Units __ _ 1st Floor Sq Ft ____ 2nd Floor Sq Ft -3rd Floor Sq Ft Unfinished Basement Sq Ft -1215 Finished Basement Sq Ft +1215 # of Bedrooms 2 # of Full Baths 1 ¾ Baths O ½ Baths O # Fireplaces 0 ENERGY INFORMATION : (CHECK ONE) ComCheck O UA (ResCheck) 0 Air Conditioning? YES D SPA(Simulated Performance D Alternative) NO 0 ----- Prescriptive □ City of Fort Collins Approved Stock Plan# SPO List Option #s --------- ERl(Energy Rating Index) D --------------------- UTILITIES INFO: Gas □ Electric O Electric Temp. Pedestal Yes Electric Main Breaker Size (Residential Only): 150 amp or less D 200 Amp 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? □ No 0 D Other D Yes D No D 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? If yes, please describe: Yes D No 0 Value of Construction (materials and labor): $ ~20,000 (materials only) -----'--------'---'----------------- Des c rip ti on of work: Homeowner basement finish with unpaid/volunteer assistance 2 bedrooms with egress, 1 full bathroom Small unfinished area for storage JOBSITE SUPERVISOR CONTACT INFO: Name Homeowner, Josh Rice Phone 7193225686 SUBCONTRACTOR INFO: Electrical N/A Mechanical N/A ------------- Plumbing N/A Framing N/A Roofing N/A ---------- Fire p I ace N/A Solar N/A Other N/A ----------- ASBESTOS STATEMENT DISCLOSURE: In accordance with the State of Colorado Senate Bi/113 -152, property owners, applying for a remodel permit, shall indicate their awareness about their property having been inspected for Asbestos Containing Materials (ACM's). 0 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 contained herein and City of Fort Collins ordinances and state laws regulating building construction. J h S R. Digitally signed by Joshua S Rice J h S R. Applicant Signature OS ua ice Date: 2021,03.2418:00:28-06'00' Type or Print Name OS ua ice --------------- Phone# 7193225686 Email joshuascottrice@gmail.com THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE Building Services PO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax HOMEOWNER AFF IDAVIT 1 , Joshua S Rice , as owner of record of the property located at: _4_0_6_3_H_a_r_r i_n_g_to_n_C_o_urt __ 8_0_5_2_5 _______ , Fort Collins, Colorado, hereby declare and attest to the following : (please check only the one that applies): OPTION 1: CONSTRUCTI ON O F 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 w ill be my primary residence. I have not personally constructed any other new homes in the Fort Colli ns city limits within the past 24-month period. OPTION 2: PERMITTED WORK ON DE TA CHED 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 prjmarv residence. OPTION 3: PERMITED WORK O N ATTACHED SI NGLE FAMI LY DWELLING UNIT. D I am act ing on my behalf for the purpose of obtaining a building permit and personally constructing a non- structural alteration to my attached sing le family dwelling unit. The house to be altered is my personal prjma rv 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 str uctural 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. e fo~egoing Affidavit was acknowledged before me on this_-______ day o • \ (month , year) by ______ ~:l~-~----:--1t-tt---11'r"t""-t-t---r-n~ Witness my hand and official seal My commission expires: RAC H EL BESEL No t ary Publ ic Sta t e of Colo rad o Notary I D# 20174000633 My Commiss ion Expires 03-03-2025 Revised 10/19/2020