HomeMy WebLinkAbout2103 Bock St - Permits/Reroof - 09/17/2019arof
t Collins
Site Address: 2103 BOCK ST
Job Valuation: $3,000.00 Category: Residential
Owner: LONG SCOTT WAYNE
2103 BOCK ST
FORT COLLINS, CO 80524-0000
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 #: B1911034
Issued Full: 09/1712019
Permit Type: Residential Roofing
Phone: 970-310-0896
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: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Filing #: Lot #: 1 Block #: 5
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
Contractor: NORTHSTAR CONSTRUCTION AND PROPERTY License #: R-2493+ Supervisor cert#:
SERVICES
1649 Dogwood Court Phone: 970-685-7601
Fort Collins, CO 80525
Subcontractor(s) Phone License Number
Roofing: NORTHSTAR CONSTRUCTION AND 970-685-7601 R-2493+
Work Description: Tear down to decking and re -roof 30 squares with Atlas Class 4 shingles. Ice and water shield required. Provide
required attic ventilation. Install per manufactures high wind specifications. 2 story. Payroll Employees to do the work.
II SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
L** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 410 409 11
TOTAL FEES PAID AS OF 09/17119: $146.26 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
C'I�" O f Community Development&Neighborhood Seruices
Fo r't Co l l i n s 281 N. College Aue Fort Collins, CO So522
97o.22i.6�6o 970.22¢.6ig¢ -fax
Building Permit#: B1911034
Issued Full: 09/17/2019
Permit Type: Residential Roofing
Site Address: 2103 BOCK ST
Job Valuation: 3 000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 09/17/2019 $146.25
Receipt issued: 09/17/2019 Total Paid to Date: $146.25
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Withaut 1000.422010 $76.50 $76.50 09/17/2019 $0.00
Subs
City Sales/Use Tax 251.122030 $57.75 $57.75 09/17/2019 $0.00
County Sales/Use Tax 100.217030 $12.00 $12.00 09/17/2019 $0.00
TOTAL FEES: $146.25 $146.25 $0.00
TOTAL BALANCE DUE AS OF 09/17/2019: 0.00
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2070