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Home My WebLink About821 Peterson St - Permits/Reroof - 04/23/2020Owner: Joe Czerwonka 821 PETERSON ST FORT COLLINS, CO 80524-3320 Phone: 202-680-0433 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY 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: PREMIER ROOFING COMPANY 3201 E. Mulberry St. Ste B Fort Collins, CO 80524 License #: R-2189 Phone: 970-484-7663 Supervisor cert #: Subcontractor(s) Phone License Number Roofing: PREMIER ROOFING COMPANY 970-484-7663 R-2189 Work Description: Tear off existing shingles and re-roof 36 squares with GAF class 4 asphalt shingles. Provide required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high-wind specifications. 2 story. Ardon Roofing 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 04/23/20: $305.18 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 #: B2003489 Issued Full: 04/23/2020 Permit Type: Residential Roofing Site Address: 821 PETERSONST Job Valuation: $9,900.00 Category: Residential Signature: Print Name: Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 04/16/2020 $305.18 Receipt issued: 04/23/2020 Total Paid to Date: $305.18 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $190.58 $190.58 04/16/2020 $0.00 County Sales/Use Tax 100.217030 $39.60 $39.60 04/16/2020 $0.00 Permit Flat Fee - $75 1000.422010 $75.00 $75.00 04/16/2020 $0.00 TOTAL FEES: $305.18 $305.18 $0.00 TOTAL BALANCE DUE AS OF 04/23/2020: $0.00 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 - fax Building Permit #: B2003489 Issued Full: 04/23/2020 Permit Type: Residential Roofing Site Address: 821 PETERSONST Job Valuation: $9,900.00 Category: Residential Fee Amounts are valid for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 Date __________________________ Application # __________________________ ROOFING PERMIT APPLICATION ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address _________________________________________________________ City/State/Zip _________________________ Property Owner Information Name ______________________________________________________ Phone Number _____________________________________ Address ________________________________________________________________ City/State/Zip _________________________ RESIDENTIAL Single Family Detached Townhome (attached) Duplex Apartment/Condo Garage/Other COMMERCIAL Bank Bar Church Hotel/Motel Medical Office Office Retail Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? Yes No If keeping existing layers, how many layers are there? _________ What kind of material are they? ____________________________ What new roofing materials are you using? _________________________________________________________________________ Is there existing insulation? Yes No Will any insulation be removed/replaced? Yes No Value of Construction Residential and Commercial = Labor and Materials $ $ ________________________________________________________ Materials Manufacturer __________________________________________ # of Squares ________________ # of Stories __________________ FLAT ROOF (less than 2:12 pitch) Yes No ASPHALT ROOF REPAIRS ONLY Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas to be repaired in space Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below. Additional Information (if applicable) Contractor Information Name ________________________________________________________________________________________________________ Address ________________________________________________________________ City/State/Zip _________________________ Phone Number ____________________________________ Email ______________________________________________________ License ______________________________________ Certificate ______________________________________________________ WORK PERFORMED BY License/Certificate Holder Payroll Employees Exempt Roofer (1099): EX- ______________ Homeowner Company Name: ______________________ I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Print Name Signature Date 281 N College Ave. Fort Collins, CO 80524 970-416-2740 buildingservices@fcgov.com ___________________________________________________________________________________________ ___________________________________________________________________________________________ 821 Peterson St Fort Collins, CO 80524 Joe Czerwonka 202-680-0433 821 Peterson St Fort Collins, CO 80524 $ 9,900.00 GAF 36 2 Residential re-roof using 26 SQ of GAF Armorshield II class 4 shingles and 10 SQ of GAF Liberty mod-bit Premier Roofing Company 3201 E. Mulberry St, Suite B Fort Collins, CO 80524 970-484-7663 amccormick@premier-roofing.com R-2189 3374-R 15(R) Ardon Roofing Ashton McCormick 04/15/2020 4/16/2020 B2003489