HomeMy WebLinkAbout2620 Autumn Harvest Way - Permits/Reroof - 10/28/2019City of
F6rt,Collins
Site Address: 2620 AUTUMN HARVEST WAY
Job Valuation: $5,293.28 Category: Residential
Owner: PALMER KATHRYN ANN
2620 AUTUMN HARVEST WAY
FORT COLLINS, CO 80528-3228
Zoning: Front setback:
Rear setback:
Community Development &Neighborrhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1914843
Issued Full: 10/28/2019
Permit Type: Residential Roofing
Phone: 970-556-0514
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: JMP HEAT, INC. DBA LION HOME SERVICE
4600 Innovation Dr., Ste. B
FORT COLLINS, CO 80525
Filing #: Lot #: 14 Block* 12
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License #: R-3945(+) Supervisor cert#:
Phone: 970-399-9940
Subcontractor(s) Phone License Number
Roofing: JMP HEAT, INC. DBA LION HO 970-399-9940 R-3945(+)
Work Description: Tear off existing shingles and re -roof 18 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 10/28/19: $198.07 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 date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
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�ort Collins 97o.�a1.6�60 9�0.224.6z34 fax
Building Permit#: B1914843
Issued Full: 10/28/2019
Permit Type: Residential Roofing
Site Address: 2620 AUTUMN HARVEST WAY
Job Valuation: 5 293.28 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 10/28/2019 $198.07
Receipt issued: 10/28/2019 Total Paid to Date: $198.07
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $101.90 $101.90 10/28/2019 $0.00
County Sales/Use Tax 100.217030 $21.17 $21.17 10l2812019 . $0.00
Permit Flat Fee-$75 1000.422010 $75.00 $75.00 10/28/2019 $0.00
TOTAL FEES: $198.07 $198.07 $0.00
TOTAL BALANCE DUE AS OF 10/28/2019: $0.00
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2010