HomeMy WebLinkAbout821 Southridge Greens Blvd - Permits/Reroof - 09/11/2019Frt Collins
Site Address: 821 SOUTHRIDGE GREENS BLVD
Job Valuation: $5,300.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.61S4 -fax
Building Permit#: B1910401
Issued Full: 09/11/2019
Permit Type: Residential Roofing
Owner: BARNETT JAMES H/PEGGY A
821 SOUTHRIDGE GREENS BLVD
FORT COLLINS, CO 80525 Phone: 970-219-8762
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 1 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: INDEPENDENT ROOFING INC
405 22ND ST
GREELEY, CO 80631
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: R-294
Phone: 970-353-1389
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: INDEPENDENT ROOFING INC 970-353-1389 R-294
Work Description: Tear down to decking and re -roof 53 squares with Owens Corning Class 4 shingles. Ice and water shield required.
Provide required attic ventilation. Install per manufactures high wind specifications. 1 story. Montes Jr 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/mobile
Possible Inspections Reouired: 410 409
TOTAL FEES PAID AS OF 09/11/19: $230.47 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 16 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
F,.�roCollins
Site Address: 821 SOUTHRIDGE GREENS BLVD
Job Valuation: $5,300.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 09/11/2019 $230.47
Receipt issued: 09/11/2019 Total Paid to Date: $230.47
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $107.25
Subs
City Sales/Use Tax 251.122030 $102.02
County Sales/Use Tax 100.217030 $21.20
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1910401
Issued Full: 0911112019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$107.25 09/11/2019 $0.00
$102.02 09/11/2019 $0.00
$21.20 09/11/2019 $0.00
TOTAL FEES: $230.47 $230.47
$0.00
TOTAL BALANCE DUE AS OF 09/11/2019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct M10