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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