HomeMy WebLinkAbout5621 Evening Primrose Ln - Permits/Reroof - 09/19/2019�„`rt Collins
Site Address: 5621 EVENING PRIMROSE LN
Job Valuation: $4,100.00 Category: Residential
Owner: HABERMAN SCOTT C/KRISTEN N
5621 EVENING PRIMROSE LN
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1911317
Issued Full: 09/19/2019
Permit Type: Residential Roofing
Phone: 206-280-2918
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: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ETHOS ROOFING & RESTORATION, LLC
2305 E Arapahoe Rd, Suite 153
Centennial, CO 80122
Filing #: Lot #: 41 Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: R-2065+ Supervisor cert#:
Phone: 720-515-0706
Subcontractor(s) Phone
Roofing: ETHOS ROOFING & RESTORATIO 720-515-0706
License Number
R-2065+
Work Description: Tear down to decking and re -roof 41 squares with GAF Armorshield II 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.
IISCHEDULE 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
Possible Inspections Reouired: 410 409
TOTAL FEES PAID AS OF 09/19/19: $192.33 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 ownercr 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 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
�of
t Collins
Site Address: 5621 EVENING PRIMROSE LN
Job Valuation: $4,100.00 Category: Residential
Transactions
MethodMethgd Check Number Date Paid
Trust Account 09/19/2019
Receipt issued: 09/19/2019 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Amount Paid
$192.33
$192.33
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Comments
Building Permit #: B191131_7_
Issued Full: 09/19/2019
Permit Type: Residential Roofing
Fee Amount Amount Paid Date Paid Amount Due
$97.00 $97.00 09/19/2019 $0.00
$78.93 $78.93 09/19/2019
$16.40 $16.40 09/19/2019
$0.00
$0.00
TOTAL FEES: $192.33 $192.33 $0.00
TOTAL BALANCE DUE AS OF 09/19/2019: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010