HomeMy WebLinkAbout612 LESSER DR - PERMITS - 10/2/2019F�ort Collins
Site Address: 612 LESSER DR
Job Valuation: $1,300.00 Category: Residential
Owner: MICHEL MELODY M/EVA M
612 LESSER DR
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1912427
Issued Full: 10/0212019
Permit Type: Residential Roofing
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Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCB - NEIGHBORHOOD CONSERVATION - BUFFER DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 1 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ETHOS ROOFING & RESTORATION, LLC
2305 EArapahoe Rd, Suite 153
Centennial. CO 80122
Filing #: Lot M Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License M R-2065+
Phone: 720-515-0706
Basement sq ft:
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: ETHOS ROOFING & RESTORATIO 720-515-0706 R-2065+
Work Description: Tear down to decking and re -roof 13 squares with Armorshield II class 4 singles. Ice and water shield required.
Provide required attic ventilation. Install per manufactures high wind specifications. 1 story. Payroll employees 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 10/02/19: $77.22 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 maybe
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
Site Address: 612 LESSER DR
Job Valuation: $1,300.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 09/30/2019 $77.22
Receipt issued: 10/02/2019 Total Paid to Date: $77.22
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $47.00
Subs
City Sales/Use Tax 251.122030 $25.02
County Sales/Use Tax 100.217030 $5.20
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1912427
Issued Full: 10/0212019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$47.00 09/30/2019 $0.00
$25.02 09/30/2019 $0.00
$5.20 09/30/2019 $0.00
$77.22 $77.22
TOTAL BALANCE DUE AS OF 10/02/2019:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010