HomeMy WebLinkAbout1109 E Lake Pl - Permits/Reroof - 10/01/2019F6rt of
Site Address: 1109 E LAKE PL
Job Valuation: $2,134.00 Category: Residential
Owner: SKODA JEREMY
1109 E LAKE PL
FORT COLLINS, CO 80524-4211
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134-fax
Building Permit#: B1912519
Issued Full: 10/01/2019
Permit Type: Residential Roofing
Phone: 303-330-2586
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: FORT COLLINS RESTORATION, INC.
6530 S. College Ave.
Ft. Collins, CO 80525
Subcontractor(s)
Roofing: FORT COLLINS RESTORATION
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: R-3676
Phone: 970-207-0000
Phone
970-207-0000
Basement sq ft:
Supervisor cert#:
License Number
R-3676
Work Description: Tear off existing shingles and re -roof 21.34 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. 2 stories. Payroll employees 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 10101/19: $126.12 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 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
Part of
Site Address: 1109 E LAKE PL
Job Valuation: $2,134.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 10/01/2019 $126.12
Receipt issued: 10/01/2019 Total Paid to Date: $126.12
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $41.08
County Sales/Use Tax 100.217030 $8.54
TOTAL FEES: $126.12
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1912519
Issued Full: 10/01/2019
Permit Type: Residential Roofing
Comments
Amount Paid
Date Paid
Amount Due
$76.50
10/01/2019
$0.00
$41.08
10/01/2019
$0.00
$8.54
10/01/2019
$0.00
$126.12
$0.00
TOTAL BALANCE DUE AS OF 10/01/2019:
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010