HomeMy WebLinkAbout921 PROVINCE RD - PERMITS - 8/6/2019/000Fort Collins
Site Address: 921 PROVINCE RD
Job Valuation: $2,300.00 Category: Residential
Owner: ZIMMERMAN DARON D
921 PROVINCE RD
FORT COLLINS, CO 80525
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1906550
Issued Full: 08/06/2019
Permit Type: Residential Roofing
Phone: 970-988-9754
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: WESTERS ROOFING INC
1001-A E. Harmony Rd #256
FORT COLLINS, CO 80525
Filing #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: R-1555
Phone: 970-690-1845
Lot #: 329 Block#:
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: WESTERS ROOFING INC 970-690-1845 R-1555
Work Description: Tear off existing shingles and re -roof 23 squares with Malarkey Legacy class 4 asphalt shingles. Provide required
attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2 story. Alvarez
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 08106/19: $129.98 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:
Forth Revised Oct 2010
�t of
Site Address: 921 PROVINCE RD
Job Valuation: $2,300.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 08/06/2019 $129.98
Receipt issued: 08/06/2019 Total Paid to Date: $129.98
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $44.28
County Sales/Use Tax 100.217030 $9.20
TOTAL FEES: $129.98
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
Building Permit#: B1906550
Issued Full: 08/06/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$76.50 08/06/2019 $0.00
$44.28 08/06/2019
$9.20 08/06/2019
$129.98
TOTAL BALANCE DUE AS OF 08/06/2019:
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010