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Home My WebLink About4703 PRAIRIE RIDGE DR - PERMITS - 11/4/2020Owner:JUDISH ANTHONY A/ANITA L 4703 PRAIRIE RIDGE DR FORT COLLINS, CO 80526 Phone: 970-213-7128 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:1 Occ Group:Const Type: Fire Sprklr:Stock plan #:Stock plan options: Contractor:ROOF SOURCE, LLC 6241 NCR 13 Loveland, CO 80538 License #:R-3717 Phone: 970-691-0845 Supervisor cert #: Subcontractor(s)Phone License Number Roofing:ROOF SOURCE, LLC 970-691-0845 R-3717 Work Description:Tear off existing shingles and re-roof 52 squares with Owens Corning Duration 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. Alvarez Roofing to do the work. Construction waste management plans are required to complete permit requirements and receive the Letter of Completion (LOC) on all roofing permits. Construction waste management plans can be submitted electronically at https://www.surveygizmo.com/s3/5566979/Roofing-Permit-Digital-Entry or emailed to environmentalcompliance@fcgov.com. *NOTE: If you are in receipt of the Letter of Completion (LOC) all requirement 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 11/04/20:$423.75 Payment method:Credit Card 4863 ** Fee Detail Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's agent, authorized to perform the proposed workonthe property describedherein. I agree to comply with all the requirements contained herein, and City ordinances, and State lawsassociated with suchwork. I understand that suchpermit may be revoked in the event that issuance was basedonincorrect information. This permit shall becomenull and void if the workauthorized by suchpermit is not commenced, suspended, abandoned or not inspected within 180 daysfromthe date of suchpermit. 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 #:B2012271 Issued Full:11/04/2020 Permit Type:Residential Roofing Site Address:4703 PRAIRIE RIDGE DR Job Valuation:$15,000.00 Category:Residential Signature:Print Name:Date: Form Revised Oct 2010 Transactions Method Check Number Date Paid Amount Paid Comments Credit Card CK #4863 11/04/2020 $130.48 Trust Account 10/28/2020 $293.27 Receipt issued:11/04/2020 Total Paid to Date:$423.75 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251.122030 $288.75 $288.75 11/04/2020 $0.00 County Sales/Use Tax 100.217030 $60.00 $60.00 11/04/2020 $0.00 Permit Flat Fee -$75 1000.422010 $75.00 $75.00 11/04/2020 $0.00 TOTAL FEES:$423.75 $423.75 $0.00 TOTAL BALANCE DUE AS OF 11/04/2020:$0.00 Community Development &Neighborhood Services 281 N.College Ave Fort Collins,CO 80522 970.221.6760 970.224.6134 -fax Building Permit #:B2012271 Issued Full:11/04/2020 Permit Type:Residential Roofing Site Address:4703 PRAIRIE RIDGE DR Job Valuation:$15,000.00 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 Medical Office Office Retail Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? Yes No If keeping existing layers, how many layers are there? _________ 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? 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 ______________________________________ Certificate ______________________________________________________ WORK PERFORMED BY License/Certificate Holder 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 x 4703 Prairie Ridge Dr Fort Collins, CO 80526 Anthony Judish 970-213-7128 xx Same x OC Duration Flex 52 2 Roof Source 6241 NCR 13 Loveland, CO 80538 970-691-0845 amy.roofsource@gmail.com R-3717 Alvarez Roofing 4178-R 84 (R) Brendan O'Keefe 10/28/20 x 15000 B2012271 10/28/2020