HomeMy WebLinkAbout3321 Long Creek Dr - Permits/Reroof - 09/18/2019�of
t Collins
Site Address: 3321 LONG CREEK DR
Job Valuation: $3,900.00 Category: Residential
Owner: GRELL MICHAEL W/JULIE A
3321 LONG CREEK DR
FORT COLLINS, CO 80528
Zoning: Frontsetback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1911269
Issued Full: 09/18/2019
Permit Type: Residential Roofing
Phone: 970-217-1180
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:
Filing #: Lot #: 12 Block #: 3
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: 2 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: BOB BEHRENDS ROOFING LLC
614 5TH AVE
GREELEY, CO 80631
Subcontractor(s)
Roofing: BOB BEHRENDS ROOFING LLC
License #: R-1772
Phone: 970-395-0406
Phone
970-395-0406
Supervisor cert#:
License Number
R-1772
Work Description: Tear down to decking and re -roof 39 squares with Asphalt 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.
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
IlPossible Inspections Reauired: 410 409 II
TOTAL FEES PAID AS OF 09/18/19: $177.42 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuanceof a permit, I hereby declare that I am the owneror 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
�For�t Collins
Site Address: 3321 LONG CREEK DR
Job Valuation: $3,900.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1911269
Issued Full: 09/18/2019
Permit Type: Residential Roofing
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account
09/18/2019
$177.42
Receipt issued: 09/18/2019 Total Paid to Date:
$177.42
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$86.75
$86.75
09/18/2019
$0.00
Subs
City Sales/Use Tax
251.122030
$75.07
$75.07
09/18/2019
$0.00
County Sales/Use Tax
100.217030
$15.60
$15.60
09/18/2019
$0.00
TOTAL FEES:
$177.42
$177.42
$0.00
TOTAL BALANCE DUE AS OF 09/18/2019:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010