HomeMy WebLinkAbout2842 Antelope Rd - Permits/Reroof - 09/23/2019F6Collinsrt
Address: 2842 ANTELOPE RD
Valuation: $2, 500.00 Category: Residential
Owner: HELM RANDALL USANDRA K
2842 ANTELOPE RD
FORT COLLINS, CO 80525
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -%
Building Permit #: B1911601
Issued Full: 09/23/2019
Permit Type: Residential Roofing
Phone: 970-214-8511
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:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options: (
Contractor: REGIONAL TOWN CENTRE License #: ` D-683 Supervisor cert#:
6342 E CR 18
Johnstown, CO 80534 Phone: 970-663-3400
Subcontractor(s)___ ' _ ---Phone r I License Number
Work Description: Tear off existing shingles and re -roof 25.squares with CertairiTeed Presidential Shake class 4 asphalt shingles.
Provide required attic ventilationr,lnstall required ice and4ater shield -Install shingles per manufacturer's high -wind specifications. 2
story. License holder to do the worrk.--------
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 09123/19: $134.62 Payment method: Credit Card 7279
'* 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 Nthe work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such pem-k
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: (yiy� v�cu�r�� Print Name: FKE20A) <r,4,U1cJ&-Date:
Form Revised Oct 2010
City of
F6rt Collins
ite Address: 2842 ANTELOPE RD
Job Valuation: $2,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK # 7279 09/23/2019 $134.62
Receipt issued: 09/23/2019 Total Paid to Date: $134.62
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $48.12
County Sales/Use Tax 100.217030 $10.00
TOTAL FEES:
iF ;
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1911601
Issued Full: 09/23/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$76.50 09/23/2019 $0.00
$48.12 09/23/2019 $0.00
$10.00 09/23/2019 $0.00
$134.62 $134.62
TOTAL BALANCE DUE AS,0F 09/23/2019
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010