HomeMy WebLinkAbout904 Elm St - Permits/Reroof - 04/01/2020arof
t Collins
Site Address: 904 ELM ST
Job Valuation: $4,800.00 Category: Residential
Owner: KELLER MARK
719 SANDPIPER PT
FORT COLLINS, CO 80525-3111
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#: B2003053
Issued Full: 04/01/2020
Permit Type: Residential Roofing
Phone: 970-219-5570
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: 1 Occ Group:
Fire Sprklr: Stock plan #:
Filing #: Lot #: Block*
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
Contractor: ROCKY MOUNTAIN ROOFERS AND GUTTERS License #: R-1783 Supervisor cert#:
458 S LINK LN
FORT COLLINS. CO 80524 Phone: 970-224-1200
Subcontractor(s) Phone License Number
Roofing: ROCKY MOUNTAIN ROOFERS AND 970-224-1200 R-1783
Work Description: Tear down to decking and re -roof 24 squares with Owens Corning Storm class 4 shingles. Ice and water shield
required. Provide required attic ventilation. Install per manufactures high wind specifications. 1 story. Alvarez Roofing 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 04/01/20: $186.60 Payment method: Credit Card 1806
' 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
�t Collins
Site Address: 904 ELM ST
Job Valuation: $4,800.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK# 1806 04/01/2020 $186.60
Receipt issued: 04/01/2020 Total Paid to Date: $186.60
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $92.40
County Sales/Use Tax 100.217030 $19.20
Permit Flat Fee - $75 1000.422010 $75.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6184 -fax
Building Permit #: B2003053
Issued Full: 04/01/2020
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$92.40 04/01/2020 $0.00
$19.20 04/01/2020 $0.00
$75.00 04/01/2020 $0.00
TOTAL FEES: $186.60 $186.60
TOTAL BALANCE DUE AS OF 04/01/2020:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010