HomeMy WebLinkAbout601 MATHEWS ST - PERMITS - 12/12/2019 (2)arof
t Collins
Site Address: 601 MATHEWS ST
Job Valuation: $4,400.00 Category: Residential
Owner: KING R BENJAMIN
1203 HARRIS DR
FORT COLLINS, CO 80524-1026
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#: B1916790
Issued Full: 12/12/2019
Permit Type: Residential Roofing
Phone: 970-490-6176
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: SEVERE WEATHER ROOFING
3307 S College Ave #220
FORT COLLINS, CO 80525
Subcontractor(s)
Roofing: SEVERE WEATHER ROOFING
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: R-2152
Phone: 970-223-2455
Phone
970-223-2455
Basement sq ft:
Supervisor cert#:
License Number
R-2152
Work Description: AFTER THE FACT: Tear off existing shingles and re -roof 22 squares with Owens Corning 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 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 12/12119: $252.30 Payment method: Trust Account
'* Fee Detail Displayed on Next Page
As a condition for the issuanceof 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 date of such permt
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:
Print Name:
Date:
Form Revised Oct 2010
�F�ort Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO.80522
970.221.676o 970.224.6134 -.fax
r
Building Permit #: B1916790
Issued Full: 12/12/2019
Permit Type: Residential Roofing
Site Address: 601 MATHEWS ST
Job Valuation: $4,400.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account
12/12/2019
Receipt issued: 12/12/2019 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
Permit Flat Fee - $75
1000.422010
Amount Paid
$252.30
$252.30
Comments
Fee Amount Amount Paid
$84.70
$84.70
$17.60
$17.60
$75.00
$75.00
$75.00
$75.00
TOTAL FEES: $252.30 $252.30
Date Paid
Amount Due
12/12/2019
$0.00
12/12/2019
$0.00
12/12/2019
$0.00
12/12/2019
$0.00
TOTAL BALANCE DUE AS OF 1211212019:
9
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010