HomeMy WebLinkAbout2421 Mathews St - Permits/Reroof - 08/21/2020Owner: BULKLEY ROSS V
2421 MATHEWS ST
FORT COLLINS, CO 80525 Phone: 970-306-7677
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
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: FM ROOFING
1629 S. LEMAY AVE
FORT COLLINS, CO 80525
License #: R-400
Phone: 970-221-1388
Supervisor cert #:
Subcontractor(s) Phone License Number
Roofing: FM ROOFING 970-221-1388 R-400
Work Description: Tear off existing shingles and re-roof 27 squares with Owens Corning class 4 asphalt shingles. Provide required
attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high-wind specifications. 1 story. HR
Roofing LLC to do the work. The back open patio roof will have EPDM single-ply roof system.
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 08/21/20: $255.77 Payment method: Credit Card 5429
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the ownerorowner'sagent,authorized to perform the proposed workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociatedwithsuchwork. I understand that suchpermitmaybe
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the workauthorizedbysuchpermitisnotcommenced,
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 #: B2009494
Issued Full: 08/21/2020
Permit Type: Residential Roofing
Site Address: 2421 MATHEWS ST
Job Valuation: $7,775.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 5429 08/21/2020 $255.77
Receipt issued: 08/21/2020 Total Paid to Date: $255.77
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $149.67 $149.67 08/21/2020 $0.00
County Sales/Use Tax 100.217030 $31.10 $31.10 08/21/2020 $0.00
Permit Flat Fee - $75 1000.422010 $75.00 $75.00 08/21/2020 $0.00
TOTAL FEES: $255.77 $255.77 $0.00
TOTAL BALANCE DUE AS OF 08/21/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2009494
Issued Full: 08/21/2020
Permit Type: Residential Roofing
Site Address: 2421 MATHEWS ST
Job Valuation: $7,775.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1. Job site address:
2421 Mathews
2. Property owner name:
Ross Bulkley
3. Property owner address:
Street Address: : 2421 Mathews
City: : FORT COLLINS
State: : CO
Zip: : 80525
4. Property owner phone number:
970-3067677
5. Project type:
Residential
6. What type of residential?
Single Family Detached
7. Value of work (Labor and Materials)($):
7775.00
8. Type of permit:
Roofing
Please note: each individual lot requires a separate application and permit.
9. Manufacturer of materials:
Owens Corning
10. Number of squares:
27
11. Number of stories:
one
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:
FM roofing Inc.
15. Contractor company address:
1629 S LEMAY AVE
16. Contractor phone number:
970-221-1388
17. Contractor company email:
fmroofngutter@aol.com
18. License number:
R-400
19. Certificate number:
1738-R
20. Work performed by:
Exempt Roofer (1099)
21. Exempt roofer name:
HR Roofing LLC
22. Exempt Roofer License EX_____:
185R
23. Additional Information if applicable:
Back open patio roof is low pitched - Installing a E.P.D.M. single-ply roofing system. on it. Majority of house is 4/12 or
higher and installing shingles.
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: SUSAN E MONTOYA
Date Signed:
08/21/2020
25. Please include an email address to receive a confirmation and a copy of your answers.
fmroofngutter@aol.com
4. Thank You!
Thank you for submitting your application for processing.
To submit another over the counter application, click here.