HomeMy WebLinkAbout6227 GOLDEN WILLOW DR - PERMITS - 10/17/2019City of
�,F`ort Collins
Site Address: 6227 GOLDEN WILLOW DR
Job Valuation: $7,364.20 Category: Residential
Owner: SAMPSON MARCIA
6227 GOLDEN WILLOW DR
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -far
Building Permit#: B1914044
Issued Full: 10/17/2019
Permit Type: Residential Roofing
Phone:970-227-6150
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 M
Contractor: FORT COLLINS RESTORATION, INC.
6530 S. College Ave.
Ft. Collins, CO 80525
Subcontractor(s)
Roofing: FORT COLLINS RESTORATION
Filing #: Lot #: 184 Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: R-3676
Phone: 970-207-0000
Phone
970-207-0000
Basement sq ft:
Supervisor cert#:
License Number
R-3676
Work Description: Tear off existing shingles and re -roof 26.54 squares with Owens Corning Flex IR class 4 asphalt shingles. Provide
required attic ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2 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 10/17/19: $246.22 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 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
City of
F�t Collins
Site Address: 6227 GOLDEN WILLOW DR
Job Valuation: $7,364.20 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 10/17/2019
Receipt issued: 10/17/2019 Total Paid to Date:
Fee Description Account Code
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Permit Flat Fee - $75 1000.422010
Amount Paid
$246.22
$246.22
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8og22
970.221.676o 970.224.6134 -fas
Comments
Building Permit#: B1914044
Issued Full: 10/17/2019
Permit Type: Residential Roofing
Fee Amount
Amount Paid
$141.76
$141.76
$29.46
$29.46
$75.00
$75.00
TOTAL FEES: $246.22 $246.22
Date Paid Amount Due
10/17/2019 $0.00
10/17/2019 $0.00
10/17/2019 $0.00
TOTAL BALANCE DUE AS OF 10/17/2019:
$0.00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010