HomeMy WebLinkAbout5315 NORTHERN LIGHTS DR - PERMITS - 2/3/2021Owner:VONDRASEK-SMIKAHL TRICIA L
5315 NORTHERN LIGHTS DR
FORT COLLINS, CO 80528
Phone: 970-219-8343
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 #:275 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:HARMONY ROOFING, LLC
37043 Soaring Eagle Cir.
Severance, CO 80550
License #:R-3669(+)
Phone: 720-205-4574
Supervisor cert #:
Subcontractor(s)Phone License Number
Roofing:HARMONY ROOFING, LLC 720-205-4574 R-3669(+)
Work Description:
Tear off existing shingles and re-roof 5.66 squares with Tamko Heritage 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. 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 02/03/21:$141.29 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 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 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 #:B2100853
Issued Full:02/03/2021
Permit Type:Residential Roofing
Site Address:5315 NORTHERN LIGHTS DR
Job Valuation:$2,421.24 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/03/2021 $141.29
Receipt issued:02/03/2021 Total Paid to Date:
$141.29
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $46.61 $46.61 02/03/2021 $0.00
County Sales/Use Tax 100.217030 $9.68 $9.68 02/03/2021 $0.00
Permit Flat Fee - $85 1000.422010 $85.00 $85.00 02/03/2021 $0.00
TOTAL FEES:$141.29 $141.29 $0.00
TOTAL BALANCE DUE AS OF 02/03/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2100853
Issued Full:02/03/2021
Permit Type:Residential Roofing
Site Address:5315 NORTHERN LIGHTS DR
Job Valuation:$2,421.24 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
___________________________________________________________________________________________
___________________________________________________________________________________________
Harmony Roong, LLC
Scott Daigle 2/2/2021
37043 Soaring Eagle Circle Severance, CO 80550
5315 Northern Lights Dr Fort Collins, CO 80528
970.686.6868 scott@harmonyroongllc.com
Tricia Vondrasek-Smikahl
5315 Northern Lights Dr
970-219-8343
Fort Collins, CO 80528
2,421.24
R-3669 (+)4089-R (+) - Specialized Trade
Tamko Heritage IR Class IV Shingles 5.66 2
Remove and replacing Upper south slope only. 12/12 pitch