HomeMy WebLinkAbout1212 E Pitkin St - Permits/Reroof - 12/02/2016l.{ Community Development & Neighborhood Services
l ' 281 N. College Ave Fort Collins, CO 80522
Fort Collins 970.221.6760 970.224.6134 -fax
Building Permit #: B1607217
Issued Full: 12/02/2016
Permit Type: Residential Roofing
Site Address: 1212 E PITKIN ST
j Job Valuation: $2,400.00 Category: Residential
Owner: HEALTH SERVICES DISTRICT OF
1024 S LEMAY AVE
l FORT COLLINS, CO 80524
Phone: 970-493-7427
I Zoning: Front setback: Rear setback:
Right setback: Left setback:
j Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
J Code: Res sq ft: Com sq ft:
Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: ROOF CHECK INC
License #: R-1377 Supervisor cert#:
1610 SKYWAY DR
LONGMONT, CO .•80504 •
Phone: 303-678-7828
Subcontractors) -
Phone - License Number
Roofing: ROOF CHECK INC
_ ....
303=678-7828 R-1377 .
Work Description: Tear off and dispose of existing shingles to
decking and. re -roof 24 squares with asphalt shingles. Provide. required
attic ventilation. Install required ice and water shield. Install shingles..per manufacturer's high -wind specifications. Chimney will hot be
disturbed. 1 story. Using own employees..
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess I
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RF
TOTAL FEES PAID AS OF 12/02/16: $130.50 Payment method: Check 10863
** 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 properly 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: - 44) USy1GIe_Date: zZ
o" Revised Oct 2010
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