HomeMy WebLinkAbout4653 WITHERS DR - PERMITS - 9/27/2019�.,F`o�r�t Collins
Site Address: 4653 WITHERS DR
Job Valuation: $3,600.00 Category: Residential
Owner: CHENOT GORDON A/REBECCA D
3321 TERRYWOOD RD
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1912264
Issued Full: 09/27/2019
Permit Type: Residential Roofing
Phone: 970-227-5568
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:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PREMIER ROOFING COMPANY
3201 E. Mulberry St. Ste B
Fort Collins, CO 80524
Subcontractor(s)
Roofing: PREMIER ROOFING COMPANY
Filing #: Lot #: 41 Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License M R-2189
Phone: 970-484-7663
Phone
970-484-7663
Basement sq ft:
Supervisor cert#:
License Number
R-2189
Work Description: Tear off existing shingles and re -roof 36 squares with GAF 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.
Ardon 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 09/27/19: $170.45 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 dale of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Forth Revised Oct 2010
City of
F6rt
,Collins
Site Address: 4653 WITHERS DR
Job Valuation: $3,600.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 09/27/2019 $170.45
Receipt issued: 09/27/2019 Total Paid to Date: $170.45
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $86.75
Subs
City Sales/Use Tax 251.122030 $69.30
County Sales/Use Tax 100.217030 $14.40
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit#: B1912264
Issued Full: 09/27/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$86.75 09/27/2019 $0.00
$69.30 09/27/2019 $0.00
$14.40 09/27/2019 $0.00
TOTAL FEES: $170.45 $170.45
TOTAL BALANCE DUE AS OF 09/2712019:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010