HomeMy WebLinkAbout1208 S BRYAN AVE - PERMITS - 3/22/2021Owner:GUSTAVSON NOAH/JULIE
1208 S BRYAN AVE
FORT COLLINS,CO 80521-4404 Phone:970-391-8036
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:0 Com sq ft:Ind sq ft:Basement sq ft:930
#of stories:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:License #:
Phone:
Supervisor cert #:
Subcontractor(s)Phone License Number
Work Description:After the fact basement finish of 930 sq ft including 2 bedrooms,3/4 bathroom,family room and laundry room.
New work to include adding wet bar to family room,remodel 3/4 bathroom,adding 2x4 walls and insulation to outside walls in all
rooms except laundry room,and shifting the entry way into the family room by 4 feet.NO COOKING APPLIANCES TO BE
INSTALLED.Homeowner affidavit on file.Job contact:Noah Gustavson 970-391-8036
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 03/22/21:$387.50 Payment method:Credit Card 4524
**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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2102034
Issued Full:03/22/2021
Permit Type:Basement Finish
Site Address:1208 S BRYAN AVE
Job Valuation:$10,000.00 Category:Residential Remodel
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #4524 03/22/2021 $387.50
Receipt issued:03/22/2021 Total Paid to Date:$387.50
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $192.50 $192.50 03/22/2021 $0.00
County Sales/Use Tax 100.217030 $40.00 $40.00 03/22/2021 $0.00
Permit Flat Fee -$155 1000.422010 $155.00 $155.00 03/22/2021 $0.00
TOTAL FEES:$387.50 $387.50 $0.00
TOTAL BALANCE DUE AS OF 03/22/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2102034
Issued Full:03/22/2021
Permit Type:Basement Finish
Site Address:1208 S BRYAN AVE
Job Valuation:$10,000.00 Category:Residential Remodel
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
BUILDING PERMIT APPLICATION
FOR OFFICE USE
APPLICATION NUMBER: APPLICATION DATE:
Job Site Address Unit#
PROPERTY OWNER INFO: (All owner information is required – NOT optional)
Last Name First Name Middle
Street Address City State Zip
Phone # Email
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 # of Dwelling Units
1st Floor Sq Ft 2nd Floor Sq Ft 3rd Floor Sq Ft Unfinished Basement Sq Ft
Finished Basement Sq Ft # of Bedrooms # of Full Baths
¾ Baths ½ Baths # Fireplaces
ENERGY INFORMATION: (CHECK ONE)
ComCheck ☐ UA (ResCheck) ☐ SPA (Simulated Performance
Alternative) ☐Prescriptive ☐ERI (Energy Rating Index) ☐
Air Conditioning? YES ☐ NO ☐
City of Fort Collins Approved Stock Plan # SP0 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:
COMMUNITY DEVELOPMENT & NEIGHBORHOOD SERVICES
281 N. College Ave. • Fort Collins, CO 80524 • Phone: 970.416.2740 • www.fcgov.com/building
B2102034 3/22/2021
Value of Construction (materials and labor): $
Description of Work:
JOBSITE SUPERVISOR CONTACT INFO: Name Phone
SUBCONTRACTOR INFO: Electrical Mechanical
Plumbing Framing 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 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 Type or Print Name
Phone # Email
THIS APPLICATION EXPIRES 180 DAYS FROM APPLICATION DATE
City of ktColli�s Building ServicesPO Box 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phone 970-224-6134 fax
HOMEOWNER AFFIDAVIT
I ,,.......,_;V--"'-' .c....()=c..q.__V\�. _ .... G4--1,i/c...IDJ,._,.·..!C.l.-'v"-'�=-"'O'--"/\�-------· as owner of record of the property located at:
_{--'z""-(J.L...Lg..__�S...__·.:.:;_73...:t_�.::,..y-=4�,�(\L......:.tt....i....:v--''e=-------' Fort Collins, Colorado, hereby declare and attest to
the following: (please check only the one that applies):
OPTION 1: CONSTRUCTION OF 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 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: PERMITIED WORK ON DETACHED SINGLE FAMILY HOME &r' 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 primary residence.
OPTION 3: PERMITED WORK ON ATIACHED SINGLE FAMILY DWELLING UNIT. D I am acting on my behalf for the purpose of obtaining a building permit and personally constructing a nonstructural alteration to my attached single family dwelling unit. The house to be altered is my personal prl mary 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 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 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
&(� . '·o�
The foregoing Affidavit was acknowledged before me on this. __ ...,/�/_ll'h ____ day of
(month, year) by .f1 ·ooJ:i bi U s+g V S.();n
�-n011t,9� Notary Public
Witness my hand and official seal My commission expires: L.{-1 � 2.02.2-
STEPHAME PEREGOY
NotaN Public -State o 1 ColoradO
NotaN 10 20064009503
My Commission Expires Apr 1. 2022
Revised 10/19/2020
B2102034
Community Development & Neighborhood Services
281 North College Avenue
P.O. Box 580
Fort Collins, CO 80522.0580
970.416.2740
970.224.6134- fax
fcgov.com
Planning, Development & Transportation Services
After the Fact Basement Finish Requirements
Address __________________________________ Permit No. _________________________
With the issuance of this “After the Fact” permit, the City makes no statement about, assumes no
responsibility for, nor inspects any construction component behind the drywall. The following
items are required and will be verified by the City building inspector.
• Electrical outlet spacing, outlets shall be installed within 6 feet of doorway edges and
within 12 feet of each other outlet as measured along the floor perimeter.
• Tamper resistant outlets, all new outlets within the scope of work identified on the
permit, shall be tamper resistant.
• Arc fault protected, all new outlets within the scope of work identified on the permit,
shall be protected by an Arc Fault outlet or breaker.
• Ground fault circuit interrupter, all new outlets installed in bathrooms or serving
counter space with wet sinks shall be GFCI protected.
• Smoke alarms, are required within each bedroom and outside the sleeping area,
throughout the home, may be electrically connected or battery operated.
• Carbon monoxide alarms, homes with attached garages or gas fired equipment; one
alarm is required within 15 feet of sleeping areas, throughout the home.
• Exhaust fan, bathrooms without an openable window shall be provided with an exhaust
fan ducted to the outside.
• Guardrails and handrails, stairs shall be provided with guardrails where needed and all
stairs of 4 or more risers shall be provided with one handrail extending the entire length
of the stairway.
• Stairway landings, all stairs shall have a clear 36 inch by 36 inch landing at the bottom
of the stair.
• Stairway protection, stairways shall be enclosed or shall be protected on the back
(underside) of the stringers with minimum of ½ inch sheetrock.
• Closet lighting, light fixtures installed in closets shall be a minimum of 12 inches from
shelf edges.
• Egress windows, basements shall have at least one egress window which provides 5
square feet of clear openable area or door leading directly to the outside, additionally all
bedrooms shall have an egress window or door leading directly to the outside.
1208 S Bryan Ave
B2102034
After the Fact Basement Finish Requirements.
- 2 -
• Egress window wells, new egress windows shall be provided with window well ladders.
• Mechanical equipment, mechanical closets containing fuel burning appliances shall not
be accessed through a bedroom or bathroom.
• Mechanical equipment access, mechanical rooms and closets shall have access doors
large enough to remove the largest piece of equipment. Removal of one piece of
equipment shall not require the removal of another piece of equipment.
• Mechanical air path, forced air mechanical systems shall be provided with a return air
path back to the equipment. The return air path shall be by ductwork or transfer grills and
openings with limited obstructions.
• Gas burning fireplaces shall be directly vented to the outside.
• Gas piping, all new gas piping shall be under a 10 pound air test during the City
inspection.
• Wood burning appliance, all wood burning appliances shall require a separate permit
and inspection.
• Plumbing, all plumbing fixtures shall be constructed of approved materials, with smooth,
impervious surfaces.
• All plumbing fixtures shall be provided with potable water, hot and cold as required by
the fixture.
• Gray water systems are required to be approved prior to installation and require a
separate permit and inspection.
_____________________________________ ______________________________________
Owner’s Name Print Owner’s signature
Noah Gustavson
1208 S Bryan Ave, Fort Collins, CO, 805213/22/2021UnknownUnknownNoah and Julie Gustavson3-22-2021B2102034 3/22/2021