HomeMy WebLinkAbout417 Park St - Permits/Reroof - 05/16/2019FrfCollins
Site Address: 417 PARK ST
Job Valuation: $1,200.00 Category: Residential
Owner: DRISKELL JOHN MARK
321 WOOD ST
FORT COLLINS. CO 80521-1954
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1903308
Issued Full: 06/16/2019
Permit Type: Residential Roofing
Phone: 970-567-8199
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 #:
Code: Res sq ft: Corn sq ft: Ind sq ft: _
# of stories: 1 Occ Group: Const Type: _
Fire Sprklr: Stock plan #: Stock plan options:
Lot #: Block #:
Basement sq ft:
Contractor: INDEPENDENT ROOFING INC License #: R-294 Supervisor cert#:
405 22ND ST
GREELEY, CO 80631 Phone: 970-353-1389
Subcontractor'(s) J Phone ! License Number
Roofing: INDEPENDENT ROOFING INC 970-353-1369—, �E L .- R-2
Work Description: Tear off existing shingles and re -roof 12.squares with.Owens Corning Duration Class 4 impact resis61ntasphalt
shingles. Provide required attic'ven_ tilat_ion. Install required ice and water shield. Install shingles per manufacturer's high -wind
specifications. 1 story. Montes Jr. 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 05116/19: $72.15 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:
Forr Revised Oct 2010
F-,-fCollins
Site Address: 417 PARK ST
Job Valuation: $1,200.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
920.221.626o 970.224.6134 -.%
Building Permit#: B1903308
Issued Full: 05/1612019
Permit Type: Residential Roofing
Transactions
Method Check Number Date Paid
Amount Paid Comments
Trust Account 05/16/2019
$72.15
Receipt issued: 05/16/2019 Total Paid to Date:
$72.15
Fee Description Account Code
Fee Amount Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$44.25
$44.25
05/16/2019
$0.00
Subs
City Sales/Use Tax 251.122030
$23.10
$23.10
05/16/2019
$0.00
County Sales/Use Tax 100.217030
$4.80
$4.80
05/16/2019
$0.00
TOTAL FEES:
$72.16
$72.16
$0.00
TOTAL BALANCE
DUE AS -OF 05/16/2019:
0.00
Ll
Fee Amounts are valid for date of this document only. Fees subject to change without notice.