HomeMy WebLinkAbout1133 Stanton Creek St - Permits/Reroof - 04/14/2020Owner: BUSS DAN EDWARD
1133 STANTON CREEK DR
FORT COLLINS, CO 80525 Phone: 970-556-4909
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: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: 2 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: ETHOS ROOFING & RESTORATION, LLC
2305 E Arapahoe Rd, Suite 153
Centennial, CO 80122
License #: R-2065+
Phone: 855-533-8467
Supervisor cert #:
Subcontractor(s) Phone License Number
Roofing: ETHOS ROOFING & RESTORATIO 855-533-8467 R-2065+
Work Description: Tear down to decking and re-roof 40 squares with Owens Corning class 4 shingles. Ice and water shield required.
Provide required attic ventilation. Install per manufactures 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 04/14/20: $633.00 Payment method: Credit Card 6608
** 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 workonthepropertydescribedherein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with suchwork. I understand that such permit may be
revoked in the event that issuance was basedonincorrectinformation. This permit shall become null and void if the work authorized by suchpermitisnotcommenced,
suspended, abandoned or not inspected within 180 days fromthedateofsuchpermit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2003440
Issued Full: 04/14/2020
Permit Type: Residential Roofing
Site Address: 1133 STANTON CREEK DR
Job Valuation: $24,000.00 Category: Residential
Signature: Print Name: Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK # 6608 04/14/2020 $633.00
Receipt issued: 04/14/2020 Total Paid to Date: $633.00
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $462.00 $462.00 04/14/2020 $0.00
County Sales/Use Tax 100.217030 $96.00 $96.00 04/14/2020 $0.00
Permit Flat Fee - $75 1000.422010 $75.00 $75.00 04/14/2020 $0.00
TOTAL FEES: $633.00 $633.00 $0.00
TOTAL BALANCE DUE AS OF 04/14/2020: $0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #: B2003440
Issued Full: 04/14/2020
Permit Type: Residential Roofing
Site Address: 1133 STANTON CREEK DR
Job Valuation: $24,000.00 Category: Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Date __________________________
Application # __________________________
ROOFING PERMIT APPLICATION
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address _________________________________________________________ City/State/Zip _________________________
Property Owner Information
Name ______________________________________________________ Phone Number _____________________________________
Address ________________________________________________________________ City/State/Zip _________________________
RESIDENTIAL Single Family Detached Townhome (attached) Duplex Apartment/Condo Garage/Other
COMMERCIAL Bank Bar Church Hotel/Motel Medical Office Office Retail Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? Yes No
If keeping existing layers, how many layers are there? _________ What kind of material are they? ____________________________
What new roofing materials are you using? _________________________________________________________________________
Is there existing insulation? Yes No Will any insulation be removed/replaced? Yes No
Value of Construction
Residential and Commercial = Labor and Materials $ $ ________________________________________________________
Materials
Manufacturer __________________________________________ # of Squares ________________ # of Stories __________________
FLAT ROOF (less than 2:12 pitch) Yes No
ASPHALT ROOF REPAIRS
ONLY
Roof Repair 49% of roof area max. Class 4 shingle is not required. Note location(s) of areas
to be repaired in space
Roof Repair 50% or more of roof area. Class 4 shingle is required. provided below.
Additional Information
(if applicable)
Contractor Information
Name ________________________________________________________________________________________________________
Address ________________________________________________________________ City/State/Zip _________________________
Phone Number ____________________________________ Email ______________________________________________________
License ______________________________________ Certificate ______________________________________________________
WORK PERFORMED BY
License/Certificate Holder Payroll Employees Exempt Roofer (1099): EX- ______________
Homeowner Company Name: ______________________
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply
with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not
valid until it has been paid and issued.
Print Name Signature Date
281 N College Ave.
Fort Collins, CO 80524
970-416-2740
buildingservices@fcgov.com
___________________________________________________________________________________________
___________________________________________________________________________________________
04/14/2020
B2003440