HomeMy WebLinkAbout421 SAN JUAN DR - PERMITS - 10/21/2019Site Address: 421 SAN JUAN DR
Job Valuation: $9,600.00 Category: Residential
Owner: BERG ROGER K/MARGARET S D
421 SAN JUAN DR
FORT COLLINS, CO 80525
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1914262
Issued Full: 10/21/2019
Permit Type: Residential Roofing
Phone:970-665-3879
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: ANCHOR ROOFING, LLC
8543 S C R 13
FORT COLLINS, CO 80525
Subcontractor(s)
Roofing: ANCHOR ROOFING, LLC
Filing #: Lot #: 9 Block #: 9
Ind sq ft:
Const Type:
Stock plan options:
License #: R-2446
Phone: 970-690-1020
Phone
970-690-1020
Basement sq ft:
Supervisor cert#:
License Number
R-2446
Work Description: Tear off existing shingles and re -roof 40 squares with Owens Corning Duration Storm 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. License Holder 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 10/21/19: $298.20 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 owneror 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
F6rt of
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Site Address: 421 SAN JUAN DR
Job Valuation: $9,600.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 10/21/2019 $298.20
Receipt issued: 10/21/2019 Total Paid to Date: $298.20
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $184.80
County Sales/Use Tax 100.217030 $38.40
Permit Flat Fee - $75 1000.422010 $75.00
TOTAL FEES:
$298.20
Building Permit #: B1914262
Issued Full: 10/21/2019
Permit Type: Residential Roofing
Comments
Amount Paid
Date Paid
Amount Due
$184.80
10/21/2019
$0.00
$38.40
10/21/2019
$0.00
$75.00
10/21/2019
$0.00
$0.00
$298.20
TOTAL BALANCE DUE AS OF 10/21/2019:
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.