HomeMy WebLinkAbout326 WEST ST - PERMITS - 5/18/2021City of
k tColli~
Site Address: 326 WEST ST
Community Development & Neighbor hood Services
281 N. College Ave Fort Collins, CO 80522
970 .221.6760 970.224.613 4 -f ax
Building Permit#: B2103803
Issued Full: 05/18/2021
Permit Type: Residential Min or Alteration
Job V a luation: $4,000 .00 Catego ry: Residential Remodel
Owner: SZALAI EDIT s
326 WEST ST
FORT COLLINS, CO 80521-1857 Phone: 303-847-1324
Zoning: Front setback: Rear setback : Right setback ____ _
Minor Amend#: ______ Plat File#: _____ ZBA Case #:
Zoning d istrict: NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT
Left setback
Legal : Subd ivision/PUD: ________________ Filing# ____ Lot# ____ Block#:
Code : Res sq ft: O
# of stories: ----
Fire Sprklr:
Contractor:
Subcontractor(s)
Com sq ft:
0cc Group:
Stock plan # ___ _
Plumbing ARROWHEAD SERVICES LLC
Ind sq ft: Basement sq ft: _______ _
Const Type: ____________________ _
Stock plan options _________________ _
License#:
Phone:
Phone
970-221-1 173
Supervisor cert#:
Lic ense Number
MP-722
Work Description: Insulation of existing concrete slab and installation of water and dra in line to existing detached out building.
Homeowner affidavit on file.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Onl ine Portal : fcgov.com/C itizenAccess ** Online Portal v ia Mobile Device : fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 102 205 200 202 204 303 302 203 301 201 300 207
TOTAL FEES PA ID AS OF 05/18/21: $235.11
** Fee Detail Displayed on Next Page
Payment method: Credit Ca rd 2775
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 wo rk 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
,ktColli~
Site Address: 326 WEST ST
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82103803
Issued Full: 05/18/2021
Permit Type: Residential Minor Alteration
Job Valuation: $4,000.00 Category: Residential Remodel
Transactions
Method Check Number Date Paid
Credit Card CK# 2775 05/18/2021
Receipt issued: 05/18/2021 Total Paid to Date:
Fee Descri~tion Account Code
Building Permit Fee w/Subs 1000.422010
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Plan Check Flat Fee $25 1000.444010
TOTAL FEES:
Amount Paid Comments
$235.11
$235.11
Fee Amount Amount Paid Date Paid
$117.11 $117.11 05/18/2021
$77.00 $77.00 05/18/2021
$16.00 $16.00 05/18/2021
$25.00 $25 .00 05/18/2021
$235.11 $235.11
TOTAL BALANCE DUE AS OF 05/18/2021:
Amount Due
$0.00
$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 2010
City of
k tColli~s COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
BUILDING PERM IT APPLICATION
APPLICATION NUMBER:
A /J ' () '\ v( 1 "Z..... FOR OFFICE US E
1 J (.,, \, J UV ...J APPLICATION DATE:
Job Site Address 326 West Street, Fort Collins, CO 80521
PROPERTY OWNER I NFO: (All owner information is required -NOT optional)
Unit#
Last Name Szalai First Name Edit Middle S -----------------------------
Street Address 326 West Street City Fort Collins State CO Zip 80521
Phone# 303-847-1324 Email edit.s.szalai@gmail.com
Name of Business (COMMERCIAL USE ONLY}
CONTRACTOR INFO: Company Name
License Holder Name --------------------
LEGAL INFO:
LIC# CERT#
Subdivision/PUD Capitol Hill Filing# --'---------Lot# 12 Block# 313 Lot Sq Ft 8500 -------
CONSTRUCTON INFO: Total Bu_ilding Sq Ft (NOT including base me nt) 968 Total Garage Sq. Ft. 576 ----------
Residential Sq Ft 968 Commercial Sq Ft ___ # of Stories 1 Bldg Ht ___ # of Dwelling Units _1 __ _
1st Floor Sq Ft 968 2nd Floor Sq Ft ___ 3rd Floor Sq Ft Unfinished Basement Sq Ft ___ _
Finished Basement Sq Ft 440 # of Bedrooms 2 # of Full Baths 1
¾ Baths 1 ½ Baths _____ # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck □ UA (R esC hec k) □
Air Conditioning? YES 0
SPA (S imulate d Pe rfo rma nc e D
Alternative)
NO 0
Prescriptive □
City of Fort Collins Approved Stock Plan# SPO List Option #s
---------
ERl(Energy Ra ting Index) D
----------------------
UTILITIES INFO: Gas ~ Electric □ Electric Temp. Pedestal Yes
Electric Main Breaker Size (Residential Only): 15 0 amp or les s !!I 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?
0 No □
D Other D
Yes D No O If not for the initial t enant 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 d es cribe:
Yes D No D
--------------------------------
City of Building Services
PO Box 580
281 N College Ave
Fort Collins, CO 80524
k tColli~
970 -416-2740 phone 970-224-6134 fax
HOMEOWNER AFFIDAVIT
I, t. D i T $2.ft::Lj4-j , as owner of record of the property located at:
'()2.(o WE, ~T ST f... E];T , Fort Collins, Colorado, hereby declare and attest to
the following: (please check only the one that applies):
OPTION 1: CONSTRUCTION OF NEW HOME
.,I~_ I am acting on my behalf for the purpose of obtaining a building permit and personally
-eu;;, ,_p)constructing my home. The home to be constructed is on the above property and will be my
~11~"'-~ 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
j: 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 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
prjmary residence. I am aware that I cannot do any structural, electrica l, 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 C ity of Fort Coll ins.
I understand that failure to comply with any of the above conditions may result in revocation of any perm its associated
with the above Permit Application number, forfeiture of any fees that have been col lected , 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 __ _,,J::...·""£'------
p./qt;/' 20-z I (month, year) by E.df s cu La;
Witness my hand and official seal
My commission expires: 09 --/0 -ZO-Z i
JAIRO A CARDENAS
Notary Public -State of Colorado
Notary ID 20094023091
My Com m ission Expires Sep 10, 2021
Revised 10/19/2020