HomeMy WebLinkAbout5726 Crossview Dr - Permits/Reroof - 09/12/2019�t Collins
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Site Address: 5726 CROSSVIEW DR
Job Valuation: $3,500.00 Category: Residential
Owner: HILL MELANY E
5726 CROSSVIEW 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 #: B1910544
Issued Full: 09/12/2019
Permit Type: Residential Roofing
Phone: 970-691-1087
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M 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: ASSURANCE CONTRACTORS INC
2643 Midpoint Drive Unit F
FORT COLLINS, CO 80525
Filing #:
Ind sq ft:
Const Type: _
Stock plan options:
Lot#: 8 Block#: 11
Basement sq ft:
License #: R-3600 Supervisor cert #:
Phone: 970-797-2502
Subcontractor(s) Phone
Roofing: ASSURANCE CONTRACTORS INC 970-797-2502
License Number
R-3500
Work Description: Tear off existing shingles and re -roof 35 squares with Owens Corning Duration Flex class 4 asphalt shingles.
Provide required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2
story. License holder 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 09/12119: $168.13 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
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #:. B1910544
- Issued Full: 09/12/2019
Permit Type: Residential Roofing
Site Address: 5726 CROSSVIEW DR
Job Valuation: $3,500.00 Category: Residential -
Transactions
Method Check Number, Date Paid Amount Paid Comments
Trust Account 09/12/2019 $168.13
Receipt issued: 09/12/2019 Total Paid to Date: $168.13
Fee Description Account Code Fee Amount Amount Paid
Building Permit Fee Without 1000.422010 $86.75 $86.75
Subs _
City Sales/Use Tax 251.122030 $67.38 $67.38
County Sales/Use Tax 100.217030 $14.00 $14.00
TOTAL FEES: $168.13 $168.13
Date Paid
Amount Due
09/12/2019
$0.00
09/12/2019
$0.00
09/12/2019
$0.00
$0.00
TOTAL BALANCE DUE AS OF 09/12/2019: 0.00
Fee Amounts are valid -for date of this document only. Fees subject to change without notice._
Form Revised Oct 2010