HomeMy WebLinkAbout5901 SOUTHRIDGE GREENS BLVD - PERMITS - 7/15/2020Owner:SWOFFORD JERRY/CAROL
1001A E HARMONY RD NO 62
FORT COLLINS,CO 82525-3354 Phone:970-215-7456
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:Com sq ft:Ind sq ft:Basement sq ft:
#of stories:1 Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:INDEPENDENT ROOFING INC
405 22ND ST
GREELEY,CO 80631
License #:R-294
Phone:970-353-1389
Supervisor cert #:
Subcontractor(s)Phone License Number
Roofing:INDEPENDENT ROOFING INC 970-353-1389 R-294
Work Description:Tear off existing shingles and re-roof 61 squares with 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.1 stories.
Montes JR Roofing 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 07/15/20:$755.99 Payment method:Trust Account
**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 #:B2007801
Issued Full:07/15/2020
Permit Type:Residential Roofing
Site Address:5901 SOUTHRIDGE GREENS BLVD
Job Valuation:$29,290.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 07/15/2020 $755.99
Receipt issued:07/15/2020 Total Paid to Date:$755.99
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $563.83 $563.83 07/15/2020 $0.00
County Sales/Use Tax 100.217030 $117.16 $117.16 07/15/2020 $0.00
Permit Flat Fee -$75 1000.422010 $75.00 $75.00 07/15/2020 $0.00
TOTAL FEES:$755.99 $755.99 $0.00
TOTAL BALANCE DUE AS OF 07/15/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2007801
Issued Full:07/15/2020
Permit Type:Residential Roofing
Site Address:5901 SOUTHRIDGE GREENS BLVD
Job Valuation:$29,290.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
City of .
Date ...:;6:....-..;..1-=--::::..::.:=-=.._____k~oll!Qs ROOFING PERMIT APPLICATION
Application #
281 N College ,A.ve. 970-416-2740
Fort Collins, CO 80524
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address 5901 South Ridge Greens Blvd City/State/Zip Fort Collins, CO 80525
Property Owner Information
. __ ~~~~~~_________________ PhoneNumber
Address 1001 A East Harmony Rd #62 City/State/Zip Fort Collins, CO 80525
o RESIDENTIAL Ingle Family Detached 0 Townhome (attached) 0 Duplex o Apartment/Condo 0 Garage/Other
o COMMERCIAL o Bank 0 Bar 0 Church 0 Hotel/Motel 0 Medical Office 0 Office o Retail o 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? NI A What kind of material are they?
• What new roofing materials are you using? _A_t_la_s_St_o_r_m_M_a_st_e_r_C_I_a_ss_4_-'-___-""'--____________
$ 29,290.00
OYes @No
Materials
Manufacturer ..:....:..:==--_______________ # of Squares -=-'---_____# of Stories __-'--_____
FLAT ROOF (less than 2:12 pitch) 0 Yes ~No
o Roof Repair 49% of roof area max, Class 4 shingle is not required,
~Roof Repair 50% or more of roof area, Class 4 shingle is required.
Note location(s) of areas
to be repaired in space
provided below,
Additional Information (if applicable)
Contractor Information
Name ~~~~~~~~~~~_________________________________
City/State/Zip '--~=.:::...z.,--==-.;=-=-=-=--__
Phone Number .:::...:...-=--.;="--!~=-=-_________ Email jonde.independentroofing@integra.net
License _--'-"""-'<--'--____________ Certificate ___..!..>£~-'-'-__________________
o License/Certificate Holder 0 Payroll Employees ® Exempt Roofer (1099): EX-EX-29(R)
___~__ WORK PERFORMED BY
o Homeowner Company Name: _M_o_n_t_e_s_J_r
I hereby acknowledge that I have read thiS applicallon and state that the above nformatlon IS complete and correct I agree to comply
With all requirements contained herein and City ordinances and state laws regulating blillding construction I know that a permit is not
valid until it has been paid and issued.
7-14-2020Print Name Jonde Holmes
B2007801
7/15/2020