HomeMy WebLinkAbout1212 Newsom St - Permits/Reroof - 03/13/2020of
F6rt`�Collins
Site Address: 1212 NEWSOM ST
Job Valuation: $5,500.00 Category: Residential
Owner: BERENS BRUCE/MICHELLE
1212 NEWSOM ST
FORT COLLINS, CO 80524
Zoning: Frontsetback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2002212
Issued Full: 03/13/2020
Permit Type: Residential Roofing
Phone: 970-488-9681
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: FAMILY TIES ROOFING & EXTERIORS License #: R-3907(+) Supervisor cert#:
3113 Colony Dr
FORT COLLINS, CO 80526 Phone: 970-599-2681
Subcontractor(s) Phone License Number
Roofing: FAMILY TIES ROOFING & EXTE 970-599-2681 R-3907(+)
Work Description: Tear off existing shingles and re -roof 22 squares with CertainTeed North Gate class 4 asphalt shingles. Provide
required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2 story.
License holder 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 03/13/20: $202.87 Payment method: Credit Card 9260
** 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 Nv v "I `&(\ \ Date:
Form Revised Oct 2010
i w
i
C�ty Of Community Deuelopment&Neighborhood Seruices
�� 28i N. College Aae Fort Collins, CO 80522
Fort Colll�� 97o.22i.6�6o 9�0.224.6i34 -.f�
, Building Permit#: 62002212
i'
Issued Full: 03/13/2020
Permit Type: Residential Roofing
Site Address: 1212 NEWSOM ST
Job Valuation: 5 500.00 Category: Residential
Transactions �
e hod Check Number ; Date Paid Amount Paid Comments
Credit Card CK#9260 '� 03/13l2020 $202.87
Receipt issued: 03/13/2020 Total Paid to Date: $202.87
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $105.87 $105.87 03/13/2020 $0.00
County Sales/Use Tax 100.217030 $22.00 $22.00 03113/2020 $0.00
Permit Flat Fee-$75 1000.422010 $75.00 $75.00 03/13/2020 $0.00
TOTAL FEES: $202.87 $202.87 $0.00
i
; TOTAL BALANCE DUE AS OF 03/13/2020: 0.00
i
;;
. ;
;'
i
,' ,
i
f
�
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2010