HomeMy WebLinkAbout832 Benson Ln - Permits/Reroof - 08/19/2020Owner: CHAPMAN JENNIFER L
832 BENSON LN
FORT COLLINS, CO 80525 Phone: 970-412-3346
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED-USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 194 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 off existing shingles and re-roof 9 squares with Malarkey Legacy Class 4 impact resistant asphalt shingles.
Provide required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high-wind specifications. 2
Stories. Brothers Rodriguez Roofing to do the work.
An approved waste management plan is required to close out all roofing permits. Please email the waste management plan to
environmentalcompliance@fcgov.com.
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 08/19/20: $133.12 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 #: B2009388
Issued Full: 08/19/2020
Permit Type: Residential Roofing
Site Address: 832 BENSON LN
Job Valuation: $2,500.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 08/19/2020 $133.12
Receipt issued: 08/19/2020 Total Paid to Date: $133.12
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $48.12 $48.12 08/19/2020 $0.00
County Sales/Use Tax 100.217030 $10.00 $10.00 08/19/2020 $0.00
Permit Flat Fee - $75 1000.422010 $75.00 $75.00 08/19/2020 $0.00
TOTAL FEES: $133.12 $133.12 $0.00
TOTAL BALANCE DUE AS OF 08/19/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2009388
Issued Full: 08/19/2020
Permit Type: Residential Roofing
Site Address: 832 BENSON LN
Job Valuation: $2,500.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
832 Benson Lane
2. Property owner name:
Jen Chapman
3. Property owner address:
Street Address: : 832 Benson Lane
City: : Ft Collins
State: : CO
Zip: : 80525
4. Property owner phone number:
9704123346
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
2500.00
8. Type of permit:
Roofing
Please note: each individual lot requires a separate application and permit.
9. Manufacturer of materials:
Malarkey Legacy
10. Number of squares:
9
11. Number of stories:
2
12. Is it a flat roof (less than 2:12 pitch)?
No
13. Check one:
Roof Repair 50% or more of roof area. Class 4 shingle is required.
14. Contractor company name:
AJ Shirk Roofing Co LLC
B2009388 8/19/2020
15. Contractor company address:
330 N Lincoln Ave, Ste 110
16. Contractor phone number:
9706696999
17. Contractor company email:
ajshirkroofing@msn.com
18. License number:
R-1588
19. Certificate number:
1652-R
20. Work performed by:
Exempt Roofer (1099)
21. Exempt roofer name:
Brother Rodriguez
22. Exempt Roofer License EX_____:
130R
23. Additional Information if applicable:
3. Review
24. 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.
Signature of: Anita Moore
Date Signed:
08/19/2020
25. Please include an email address to receive a confirmation and a copy of your answers.
ajshirkroofing@msn.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.