HomeMy WebLinkAbout3462 SHALLOW POND DR - PERMITS - 6/25/2020Owner:PREWETT GARY DEAN/LINDA R
3462 SHALLOW POND DR
FORT COLLINS,CO 80528 Phone:970-691-2667
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 #:13 Block #:13
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:ASPEN GROUP
14 Inverness Drive East #F-132
Englewood,CO 80112
License #:R-3983
Phone:720-536-5627
Supervisor cert #:
Subcontractor(s)Phone License Number
Roofing:ASPEN GROUP 720-536-5627 R-3983
Work Description:Tear off existing shingles and re-roof 28 squares with Legacy -Midnight Black 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 Stories.License holder to do the work.
An approved waste management plan is required to close out all roofing permits.Please email the waste management plan to
environmentalcompliance@fcgov.com.
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 06/25/20:$254.03 Payment method:Credit Card 2090
**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.
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2006758
Issued Full:06/25/2020
Permit Type:Residential Roofing
Site Address:3462 SHALLOW POND DR
Job Valuation:$7,700.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK #2090 06/25/2020 $254.03
Receipt issued:06/25/2020 Total Paid to Date:$254.03
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $148.23 $148.23 06/25/2020 $0.00
County Sales/Use Tax 100.217030 $30.80 $30.80 06/25/2020 $0.00
Permit Flat Fee -$75 1000.422010 $75.00 $75.00 06/25/2020 $0.00
TOTAL FEES:$254.03 $254.03 $0.00
TOTAL BALANCE DUE AS OF 06/25/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2006758
Issued Full:06/25/2020
Permit Type:Residential Roofing
Site Address:3462 SHALLOW POND DR
Job Valuation:$7,700.00 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 0HGLFDO2I¿FH 2I¿FH Retail Restaurant
COMMERCIAL STRUCTURES
$UH\RXWHDULQJRIIH[LVWLQJURR¿QJPDWHULDOVWRWKHGHFNLQJ" Yes No
,INHHSLQJH[LVWLQJOD\HUVKRZPDQ\OD\HUVDUHWKHUH" _________:KDWNLQGRIPDWHULDODUHWKH\" ____________________________
:KDWQHZURR¿QJPDWHULDOVDUH\RXXVLQJ" _________________________________________________________________________
,VWKHUHH[LVWLQJLQVXODWLRQ" Yes 1R :LOODQ\LQVXODWLRQEHUHPRYHGUHSODFHG" 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
provided below. Roof Repair 50% or more of roof area. Class 4 shingle is required.
Additional Information
(if applicable)
Contractor Information
Name ________________________________________________________________________________________________________
Address ________________________________________________________________ City/State/Zip _________________________
Phone Number ____________________________________ Email ______________________________________________________
License ______________________________________&HUWL¿FDWH ______________________________________________________
WORK PERFORMED BY
/LFHQVH&HUWL¿FDWH+ROGHU 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
___________________________________________________________________________________________
___________________________________________________________________________________________
6/24/2020
3462 Shallow Pond Drive Fort Collins, CO 80528
Linda and Gary Prewitt
3462 Shallow Pond Drive Fort Collins, CO 80528
$ 7,700.00
Legacy - Midnight Black 28 2
Charles Hormuth
14 Inverness Drive East, Ste F-132 Englewood, CO 80112
720-536-5627 jessica@aspengroupco.com
R-3983 4719-R
Jessica Lingenfelter 6/24/2020Digitally signed by Jessica Lingenfelter
Date: 2020.06.24 11:28:43 -06'00'
B2006758