HomeMy WebLinkAbout1421 W Lake St - Permits/Reroof - 12/07/2017City of
F6rt Collins
Site Address: 1421 W LAKE ST
Job Valuation: $2,766.00 Category: Residential
Owner: GROVER ROBERT M
1421 W LAKE ST
FORT COLLINS, CO 80521-4421
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 #: B1708344
Issued Full: 12/07/2017
Permit Type: Residential Roofing
Phone: 970-493-8357
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: Corn sq ft: Ind sq ft:
# of stories: 2 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan o
Contractor: MAJESTIC ROOFING
6200 N GARFIELD
LOVELAND, CO 80538
Subcontractor(s)
Roofing: MAJESTIC ROOFING
License #: R-1510
Phone: 970-667-8500
Phone
970-667-8500
Basement sq ft:
Supervisor cert #: 3206-R
License Number
R-1510
Work Description: Tear off existing shingles to decking and re -roof 27.66 squares with Tamko Heritage shingles. Provide required
attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2 story. Using own
payroll employees.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://vvww.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 410 409
TOTAL FEES PAID AS OF 12/07/17: $138.74 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 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.
Signature: Print Name: e<e,,2 lo r/ S7,G.iS Date:
i d -7-/2
Form Revised Oct 2010
City of Community Development & Neighborhood Services
F6rt Collins 281 N. College Ave Fort Collitts, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1708344
Issued Full: 12/07/2017
Permit Type: Residential Roofing
Site Address: 1421 W LAKE ST
Job Valuation: $2,766.00 Category: Residential
Transactions
Trust Account 12/0712017 $138.74
Receipt issued: 12/07/2017 Total Paid to Date: $138.74
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $53.25
County Sales/Use Tax 100.217030 $8.99
Amount Paid Date Paid Amount Due
$76.50 12/07/2017 $0.00
$53.25 12/07/2017
$8.99 12/07/2017
TOTAL FEES: $138.74 $138.74
TOTAL BALANCE DUE AS OF 12/07/2017:
$0.00
$0.00
$0.00
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.