HomeMy WebLinkAbout1601 Centennial Rd - Permits/Reroof - 10/16/2019Owner: COWLES GEOFFREY D
1601 CENTENNIAL RD
FORT COLLINS, CO 80525-2418 Phone: 970-581-1820
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ASSURANCE CONTRACTORS INC
2643 Midpoint Drive Unit F
FORT COLLINS, CO 80525
License #: R-3600
Phone: 970-797-2502
Supervisor cert #:
Subcontractor(s) Phone License Number
Roofing: ASSURANCE CONTRACTORS INC 970-797-2502 R-3600
Work Description: Tear off existing shingles and re-roof 42.14 squares with Malarkey Legacy class 4 asphalt shingles. Provide
required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high-wind specifications. 2 story.
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 10/23/19: $340.97 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 owner's agent, authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B1913850
Issued Full: 10/16/2019
Permit Type: Residential Roofing
Site Address: 1601 CENTENNIAL RD
Job Valuation: $11,439.73 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 10/23/2019 $340.97
Receipt issued: 10/23/2019 Total Paid to Date: $340.97
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $220.21 $220.21 10/23/2019 $0.00
County Sales/Use Tax 100.217030 $45.76 $45.76 10/23/2019 $0.00
Permit Flat Fee - $75 1000.422010 $75.00 $75.00 10/23/2019 $0.00
TOTAL FEES: $340.97 $340.97 $0.00
TOTAL BALANCE DUE AS OF 10/23/2019: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B1913850
Issued Full: 10/16/2019
Permit Type: Residential Roofing
Site Address: 1601 CENTENNIAL RD
Job Valuation: $11,439.73 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010