HomeMy WebLinkAbout5126 Corbett Dr - Permits/Reroof - 09/09/2019of
Ft Collins
Site Address: 5126 CORBETT DR
Job Valuation: $2,000.00 Category: Residential
Owner: KAMMERER SHANE M
5126 CORBETT DR
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1910143
Issued Full: 09/09/2019
Permit Type: Residential Roofing
Phone: 970-219-1784
Zoning: Front setback: Rear setback: 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: Cam sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PREMIER ROOFING COMPANY
3201 E. Mulberry St. Ste B
Fort Collins, CO 80524
Filing #: Lot M 5 Block #: 7
Ind sq ft: _
Const Type: _
Stock plan options:
License #: R-2189
Phone: 970-484-7663
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: PREMIER ROOFING COMPANY 970-484-7663 R-2189
Work Description: Tear down to decking and re -roof 20 squares with GAF class 4 shingles. Ice and water shield required. Provide
required attic ventilation. Install per manufactures high wind specifications. 2 story. Ardon 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/r
Possible Inspections Reauired: 410 409
TOTAL FEES PAID AS OF 09/09/19: $112.75 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 ifthe 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
�F�ort Collins
Site Address: 5126 CORBETT DR
Job Valuation: $2,000.00 Category: Residential
Transactions
Method Check
Number Date Paid
Amount Paid
Trust Account
09/09/2019
$112.75
Receipt issued: 09/09/2019 Total Paid to Date:
$112.75
Fee Description
Account Code
Fee Amount
Building Permit Fee Without
1000.422010
$66.25
Subs
City Sales/Use Tax
251.122030
$38.50
County Sales/Use Tax
100.217030
$8.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1910143
Issued Full: 09/09/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$66.25 09/09/2019 $0.00
$38.50 09/09/2019
$8.00 09/09/2019
TOTAL FEES: $112.76 $112.76
TOTAL BALANCE DUE AS OF 09/09/2019:
$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