HomeMy WebLinkAbout4110 Verbena Way - Permits/Reroof - 01/05/2021Owner: Terra Management
16 INVERNESS PL E BLDG A100
ENGLEWOOD, CO 80112-5614 Phone: 303-722-6088
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: E - EMPLOYMENT DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: A Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: 3 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: NORTH WEST ROOFING AND RHINO ROOFING
2755 S Locust St Ste 200
DENVER, CO 80222
License #: R-2173
Phone: 303-804-0303
Supervisor cert #:
Subcontractor(s) Phone License Number
Roofing: NORTH WEST ROOFING AND RHI 303-804-0303 R-2173
Work Description: Tear off existing shingles and re-roof 229 squares with GAF Armorshield II Class 4 impact resistant asphalt
shingles. Provide required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high-wind
specifications. 3 Stories. GAM Construction to do the work.
Construction waste management plans are required to complete roofing permits. Construction waste management plans can be
submitted electronically or emailed to environmentalcompliance@fcgov.com. *NOTE: If you are in receipt of a Letter of Completion,
all requirements listed above have been completed*
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 01/05/21: $2,305.21 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 ownerorowner'sagent,authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociatedwithsuchwork. I understand that suchpermitmaybe
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the workauthorizedbysuchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
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 #: B2100044
Issued Full: 01/05/2021
Permit Type: Residential Roofing
Site Address: 4110 VERBENA WAY
Job Valuation: $95,493.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 01/05/2021 $2,305.21
Receipt issued: 01/05/2021 Total Paid to Date: $2,305.21
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $1,838.24 $1,838.24 01/05/2021 $0.00
County Sales/Use Tax 100.217030 $381.97 $381.97 01/05/2021 $0.00
Permit Flat Fee - $85 1000.422010 $85.00 $85.00 01/05/2021 $0.00
TOTAL FEES: $2,305.21 $2,305.21 $0.00
TOTAL BALANCE DUE AS OF 01/05/2021: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2100044
Issued Full: 01/05/2021
Permit Type: Residential Roofing
Site Address: 4110 VERBENA WAY
Job Valuation: $95,493.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010