HomeMy WebLinkAbout5433 Northern Lights Dr - Permits/Reroof - 08/23/2019City of
F6rt,Collins
Site Address: 5433 NORTHERN LIGHTS DR
Job Valuation: $2,500.00 Category: Residential
Owner: GEORGE JASONMENNIFER
5433 NORTHERN LIGHTS DR
FORT COLLINS, CO 80528-4439
Zoning: Frontsetback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1908352
Issued Full: 08/23/2019
Permit Type: Residential Roofing
Phone: 352-275-2211
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: BLUE FROG ROOFING LIMITED
5408 Beverly Dr.
Berthoud, CO 80513
Filing #: Lot #: 308 Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: R-3806
Phone: 970-699-5575
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: BLUE FROG ROOFING LIMITED 970-699-5575 R-3806
Work Description: Tear off existing shingles and re -roof 25 squares with Owens Corning Duration Class 4 impact resistant asphalt
shingles. Provide required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind
specifications. 2 Stories. Montbello Roofing to do the work.
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: 410 409
TOTAL FEES PAID AS OF 08/23/19: $134.62 Payment method: Trust Account
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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
�t of
Site Address: 5433 NORTHERN LIGHTS DR
Job Valuation: $2,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 08/23/2019 $134.62
Receipt issued: 08/23/2019 Total Paid to Date: $134.62
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $48.12
County Sales/Use Tax 100.217030 $10.00
TOTAL FEES: $134.62
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 fax
Building Permit #: B1908362
Issued Full: 08/23/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$76.50 08/23/2019 $0.00
$48.12 08/23/2019
$10.00 08/23/2019
$134.62
TOTAL BALANCE DUE AS OF 08/23/2019:
$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