HomeMy WebLinkAbout730 PONDEROSA DR - M - PERMITS - 3/23/2021 City ®f Community Development&Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B2102058
Issued Full: 03/23/2021
Permit Type: Residential Roofing
Site Address: 730 PONDEROSA DR, M
Job Valuation: $4,300.00 Category: Residential
Owner: LOFTIS JIM C
223 PARK ST
FORT COLLINS, CO 80521 Phone:.970-691-1956
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: KH ROOFING LLC License#: R-2386 Supervisor cert#:
1824 80th Ave.
Greeley,CO 80634 Phone: 970-324-5238
Subcontractor(s) Phone License Number
Roofing: KH ROOFING LLC 970-324-5238 R-2386
Work Description: Tear off existing shingles and re-roof 12 squares with IKO and Atlas 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.
Construction waste management plans are required to complete roofing permits.Construction waste management plans can be
submitted electronically or emailed to environmentalcompliance@fcgov.com. *NOTE: If you are in receipt of a Letter of Completion,
all requirements listed above have been completed*
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 03/23/21: $184.97 Payment method: Credit Card 2580
*•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
r
City ®f Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
F6rt
Collins 970.221.676o 970.224.6134 -fax
Building Permit#: B2102058
Issued Full: 03/23/2021
Permit Type: Residential Roofing
Site Address: 730 PONDEROSA DR, M
Job Valuation: $4,300.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#2580 03/23/2021 $184.97
Receipt issued: 03/23/2021 Total Paid to Date: $184.97
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $82.77 $82.77 03/23/2021 $0.00
County Sales/Use Tax 100.217030 $17.20 $17.20 03/23/2021 $0.00
Permit Flat Fee -$85 1000.422010 $85.00 $85.00 03/23/2021 $0.00
TOTAL FEES: $184.97 $184.97 $0.00
TOTAL BALANCE DUE AS OF 03/23/2021: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
IllDat "k 17-:-7i)T k
ROOFING • • APPLICATION /
17pmplicatione4 L)7q�& r'�!
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
ALL . e . be
Job Site Address 7 3o Pic, ld e 2cn• P r bn l� ACity/State/Zip Foit Ld��ih S �a
Property Owner Information)
Name �i i /-�07"Ti5 nn yh Phone Number / Zy Kql d
Address 7 30 �oylcQerS`1 W f t,kJ A City/State/Zip G✓1 C d 1�i h S `�
® �Ingle�FamilyDetached Q Townhome(attached) o Duplex iApanment/Condo ( Garage/Other
t d ( Bank ( Bar ( Church 0 Hotel/Motel 0 Medical Office Office 0 Retail 0 Restaurant
COMMERCIAL STRUCTURES _
Are you tearing off existing roofing materials to the decking? #Yes 0 No
If keeping existing layers,how many layers are there? IL 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? 0 Yes (if No
Value of ConstrUction
41
Residential and Commercial = Labor and Materials $ $
Materials ` I
Manufacturer _TI�o Ck V'4 1 1�L 5 #of Squares f o� #of Stories 2
FLAT ROOF(less than 2:12 pitch) 0 Yes )No
0 Roof Repair 49%of roof area max. Class 4 shingle is not required. Note locations)of aFeas "a
to be repaired m space
e ` ; Q Roof Repair 50%or more of roof area.Class 4 shingle is required. providetl„below
Additional Information
(if applicable)
Contractor Information
�/ /
Name /5v°'7`idl<
Address 64 tlr_ (� City/State/Zip
Phone Number '9 ZU 2-9 S 7i 5 Email ' J°
License ' 33 ro Certificated
°� '�+� License/Certificate Holder 0 Payroll Employees Exempt Roofer 1099 : EX-
w t y ,;
�„ � 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-� krj Signature i Date