HomeMy WebLinkAbout1719 Centennial Rd - Permits/Reroof - 09/19/2019City of
�,�t Collins
Site Address: 1719 CENTENNIAL RD
Job Valuation: $3,000.00 Category: Residential
Owner: CAIN DANIEL F/KATHLEEN
1719 CENTENNIAL RD
FORT COLLINS, CO 80525-2416
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1911347
Issued Full: 09/19/2019
Permit Type: Residential Roofing
Phone: 970-217-0662
Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PREMIER ROOFING COMPANY
3201 E. Mulberry St. Ste B
Fort Collins, CO 80524
Filing #: Lot #: Block M
Ind sq ft:
Const Type: _
Stock plan options:
License #: R-2189
Phone: 970-484-7663
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: PREMIER ROOFING COMPANY 970484-7663 R-2189
Work Description: Tear off existing shingles and re -roof 30 squares with GAF Class 4 impact resistant asphalt shingles. Provide
required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2 stories.
Ardon 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 Required: 410 409
TOTAL FEES PAID AS OF 09119/19: 146.25 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 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:
Forth Revised Oct 2010
F6rt of
Site Address: 1719 CENTENNIAL RD
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 09/19/2019 $146.25
Receipt issued: 09/19/2019 Total Paid to Date: $146.25
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $57.75
County Sales/Use Tax 100.217030 $12.00
TOTAL FEES: $146.25
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1911347
Issued Full: 09/19/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$76.50 09/19/2019 $0.00
$57.75 09/19/2019
$12.00 09/19/2019
$146.25
TOTAL BALANCE DUE AS OF 09/19/2019:
$0.00
$0.00
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010