HomeMy WebLinkAbout6051 MEDLAR PL - PERMITS - 10/4/2019City of
F`rt Collins
Site Address: 6051 MEDLAR
Job Valuation: $5,100.00 Category: Residential
Owner: FALKENBERG ROBERT J/KAREN L
6051 MEDLAR PL
FORT COLLINS, CO 80528-0000
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1913101
Issued Full: 10/04/2019
Permit Type: Residential Roofing
Phone: 404-432-6605
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
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: ALL PHASE RESTORATION, INC
7355 GREENRIDGE RD, STE C
WINDSOR, CO 80550
Subcontractor(s)
Roofing: ALL PHASE RESTORATION, INC
Filing #: Lot #: 10 Block #: 4
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: R-2507+ Supervisor cart#:
Phone: 970-686-6000
Phone License Number
970-686-6000 R-2507+
Work Description: Tear off existing shingles and re -roof 51 squares with Owens Corning Duration 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. King's Remodel 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 10/04/19: $225.82 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 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:
Form Revised Oct 2010
arof
t Collins
Site Address: 6051 MEDLAR PL
Job Valuation: $5,100.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 10/04/2019 $225.82
Receipt issued: 10/04/2019 Total Paid to Date: $225.82
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $107.25
Subs
City Sales/Use Tax 251.122030 $98.17
County Sales/Use Tax 100.217030 $20.40
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1913101
Issued Full: 10/04/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$107.25 10/04/2019 $0.00
$98.17 10/04/2019 $0.00
$20.40 10/04/2019 $0.00
TOTAL FEES: $225.82 $226.82
TOTAL BALANCE DUE AS OF 10/04/2019:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010