HomeMy WebLinkAbout1636 Collindale Dr - Permits/Reroof - 04/14/2020Owner: JERNBERG DENISE M/ANSELL LOUISE M
1636 COLLINDALE DR
FORT COLLINS, CO 80525-2976 Phone: 970-412-4660
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: 2 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: AJ SHIRK ROOFING
330 N. Lincoln AVE STE 110
LOVELAND, CO 80537
License #: R-1588
Phone: 970-669-6999
Supervisor cert #:
Subcontractor(s) Phone License Number
Roofing: AJ SHIRK ROOFING 970-669-6999 R-1588
Work Description: Tear down to decking and re-roof 23 squares with CertainTeed Class 4 shingles. Ice and water shield required.
Provide required attic ventilation. Install per manufactures high wind specifications. 2 story. Brothers Rodriguez 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 04/14/20: $272.63 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 #: B2003424
Issued Full: 04/14/2020
Permit Type: Residential Roofing
Site Address: 1636 COLLINDALE DR
Job Valuation: $8,500.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 04/14/2020 $272.63
Receipt issued: 04/14/2020 Total Paid to Date: $272.63
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $163.63 $163.63 04/14/2020 $0.00
County Sales/Use Tax 100.217030 $34.00 $34.00 04/14/2020 $0.00
Permit Flat Fee - $75 1000.422010 $75.00 $75.00 04/14/2020 $0.00
TOTAL FEES: $272.63 $272.63 $0.00
TOTAL BALANCE DUE AS OF 04/14/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2003424
Issued Full: 04/14/2020
Permit Type: Residential Roofing
Site Address: 1636 COLLINDALE DR
Job Valuation: $8,500.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
130(R)
04-14-2020
B2003424