HomeMy WebLinkAbout1201 Fairway Five Dr - Permits/Reroof - 10/30/2019�.,F`or�t Collins
Site Address: 1201 FAIRWAY FIVE DR
Job Valuation: $9,060.00 Category: Residential
Owner: BASSANI JUDY
1201 FAIRWAY FIVE DR
FORT COLLINS, CO 80525-9400
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#: B1914943
Issued Full: 10/30/2019
Permit Type: Residential Roofing
Phone: 970-226-6037
Right setback: Left setback:
Minor Amend M Plat File #: 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: BERNA ROOFING
2927 BASSICK ST
FORT COLLINS, CO 80526
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: R-1719
Phone: 970-412-2022
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: BERNA ROOFING 970-412-2022 R-1719
Work Description: Tear off existing shingles and re -roof 25 squares with Malarkey Legacy 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 10/30/19: $285.64 Payment method: Credit Card 0143
" 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 date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
C'�Y O� Community Deuelopmeret&Neighborhood Seruices
Fort Collins 281N. CoLlegeAue FortCollins, C08o52z
97o.22i.6y6o 9�0.224.6i34 -fax
Building Permit#: B1914943
Issued Full: 10/30/2019
Permit Type: Residential Roofing
Site Address: 1201 FAIRWAY FIVE DR
Job Valuation: $9,060.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#0143 10/30/2019 $285.64
Receipt issued: 10/30/2019 Total Paid to Date: $285.64
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $174.40 $174.40 10l30/2019 $0.00
County Sales/Use Tax 100.217030 $36.24 $36.24 10/30/2019 $0.00
Permit Flat Fee -$75 1000.422010 $75.00 $75.00 10/30/2019 $0.00
TOTAL FEES: $285.64 $285.64 $0.00
TOTAL BALANCE DUE AS OF 10/30/2019: 0.00
r�
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
/ Fortn Revised Oct 2070