HomeMy WebLinkAbout410 E LAKE ST - PERMITS - 8/6/2019City of
�,.F,rt Collins
Site Address: 410E LAKE ST
Job Valuation: $2,100.00 Category: Residential
Owner: HANDY RYAN MAYE
410 E LAKE ST
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.613q -fax
Building Permit #: B1906586
Issued Full: 08/06/2019
Permit Type: Residential Roofing
Phone: 505-310-2395
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY 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: R3D ROOFING, LLC
14143 Denver W. Pkwy, #100
Goldern, CO 80401
License #: R-3901
Phone: 303-419-3935
Supervisor cert#:
Subcontractor(s) Phone License Number
Roofing: R3D ROOFING, LLC 303-419-3935 R-3901
Work Description: Tear down to decking and re -roof 21 squares with Owens Corning Class 4 shingles. Ice and water shield required.
Provide required attic ventilation. Install per manufactures high wind specifications. 2 story. Using own employees.
SCHEDULE INSPECTIONS: ** via Text Message: 888406-6394 ** 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 08/06/19: $125.33 Payment method: Check 7512
*` 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 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: (a
Form Revised Oct 2010
�t Collins
Site. Address: 410E LAKE ST
Job Valuation: $2,100.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.22i.676o 970.224.6134 -fax
Building Permit #: B1906586
Issued Full: 08/06/2019
Permit Type: Residential Roofing
Method Check Number Date Paid
Amount Paid
Comments
Check CK#7512 08/06/2019
$125.33
Receipt issued: 08/06/2019 Total Paid to Date:
$125.33
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$76.50
$76.50
08/06/2019
$0.00
Subs
City Sales/Use Tax 251.122030
$40.43
$40.43
08/06/2019
$0.00
County Sales/Use Tax 100.217030
$8.40
$8.40
08/06/2019
$0.00
TOTAL FEES:
$126.33
$126.33
$0.00
-
TOTAL BALANCE DUE AS OF 08106/2019:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010