HomeMy WebLinkAbout1208 Mountain Home Dr - Permits/Reroof - 09/27/2019�of
t Collins
Site Address: 1208 MOUNTAIN HOME DR
Job Valuation: $6,000.00 Category: Residential
Owner: ADAMS ALAND B
1208 MOUNTAIN HOME DR
FORT COLLINS, CO 80525-4250
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1912274
Issued Full: 09/27/2019
Permit Type: Residential Roofing
Phone: 970-290-5544
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft:
# of stories: 1 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan o
Contractor: PREMIER SIDING & ROOFING
6750 Pumpkin Ridge Dr.
WINDSOR, CO 80550
License #: R-1423
Phone: 970-222-3022
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: PREMIER SIDING & ROOFING 970-222-3022 R-1423
Work Description: Tear off existing shingles and re -roof 60 squares with Owens Corning Duration Class 4 impact resistant asphalt
shingles. Provide required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind
specifications. 1 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 09/27/19: $246.75 Payment method: Credit Card 8487
** 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 dale of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
Clty. of
�,.F�rt Collins
Site Address: 1208 MOUNTAIN HOME DR
Job Valuation: $6,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK# 8487 09/27/2019 $246.75
Receipt issued: 09/27/2019 Total Paid to Date: $246.75
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $107.25
Subs
City Sales/Use Tax 251.122030 $115.50
County Sales/Use Tax 100.217030 $24.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1912274
Issued Full: 09/27/2019
Permit Type: Residential Roofing
Comments
Amount Paid
Date Paid
Amount Due
$107.25
09/27/2019
$0.00
$115.50
09/27/2019
$0.00
$24.00
09/27/2019
$0.00
TOTAL FEES: $246.75 $246.75
TOTAL BALANCE DUE AS OF 09/27/2019:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010