HomeMy WebLinkAbout411 EDWARDS ST - PERMITS - 1/27/2020�t Collins
Site Address: 411 EDWARDS ST
Job Valuation: $4,293.90 Category: Residential
Owner: RUDOLPH JEFFREY BART
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B2000863
Issued Full: 01/27/2020
Permit Type: Residential Roofing
411 EDWARDS ST
FORT COLLINS, CO 80524-3809 Phone: 970-214-5149
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: 1 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: FORT COLLINS RESTORATION, INC. License #: R-3676 Supervisor cert#:
6530 S. College Ave.
Ft. Collins, CO 80525 Phone: 970-207-0000
Subcontractor(s) Phone License Number
Roofing: FORT COLLINS RESTORATION, 970-207-0000 R-3676
Work Description: Tear off existing shingles and re -roof 11.48 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. 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 01/27/20: $174.84 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 Wth 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
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t Collins
Site Address: 411 EDWARDS ST
Job Valuation: $4,293.90 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 01/27/2020 $174.84
Receipt issued: 01/27/2020 Total Paid to Date: $174.84
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $82.66
County Sales/Use Tax 100.217030 $17.18
Permit Flat Fee - $75 1000.422010 $75.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,fax
Building Permit #: B2000863
Issued Full: 01/27/2020
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$82.66 01/27/2020 $0.00
$17.18 01/27/2020 $0.00
$75.00 01/27/2020 $0.00
TOTAL FEES: $174.84 $174.84
TOTAL BALANCE DUE AS OF 01/27/2020:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010