HomeMy WebLinkAbout1502 AMBROSIA CT - PERMITS - 2/9/2021Owner:WELLER LUCAS
1502 AMBROSIA CT
FORT COLLINS, CO 80526
Phone: 316-393-2070
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:Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:PREMIER ROOFING COMPANY
3201 E. Mulberry St. Ste B
Fort Collins, CO 80524
License #:R-2189
Phone: 970-484-7663
Supervisor cert #:
Subcontractor(s)Phone License Number
Roofing:PREMIER ROOFING COMPANY 970-484-7663 R-2189
Work Description:
Tear off existing shingles and re-roof 22 squares with GAF 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.
Ardon Roofing 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 02/09/21:$136.15 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 #:B2100981
Issued Full:02/09/2021
Permit Type:Residential Roofing
Site Address:1502 AMBROSIA CT
Job Valuation:$2,200.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 02/09/2021 $136.15
Receipt issued:02/09/2021 Total Paid to Date:
$136.15
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $42.35 $42.35 02/09/2021 $0.00
County Sales/Use Tax 100.217030 $8.80 $8.80 02/09/2021 $0.00
Permit Flat Fee - $85 1000.422010 $85.00 $85.00 02/09/2021 $0.00
TOTAL FEES:$136.15 $136.15 $0.00
TOTAL BALANCE DUE AS OF 02/09/2021:$0.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 - fax
Building Permit #:B2100981
Issued Full:02/09/2021
Permit Type:Residential Roofing
Site Address:1502 AMBROSIA CT
Job Valuation:$2,200.00 Category:Residential
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Ov er the Counter Application
2.
1 . Job site addres s:
1 502 Amb rosi a Ct
2 . Prope rty owne r name :
L uca s Weller
3 . Prope rty owne r a ddress:
Stre et Address: : 15 02 Ambrosia Ct
Ci ty: : Fort C ol lins
State: : CO
Zip : : 80526
4 . Prope rty owne r phone number:
3 16393 20 70
5 . Project type:
Resid en tial
6 . What ty pe of res idential?
Single Family D etach ed
7 . Value of work (La bor a nd Mate r ia ls )($):
2 200
8 . Ty pe of permit:
Roofing
Pleas e note: e ach individual lot require s a se parate applic ation and perm it.
Pleas e note: e ach individual applianc e requir es a sepa rate application and permit.
9 . Manufacturer of mate rials:
GAF
1 0. Num be r of squa r es:
2 2
1 1. Num be r of stor ie s:
2
1 2. Is it a flat roof (les s than 2:12 pitch)?
No
1 3. Check one :
Roof Repair 5 0% or more of roof area. Cla ss 4 shing le is require d.
1 4. Contrac tor company na m e:
Premier Roofing C ompany
1 5. Contrac tor company address:
3 201 E Mulbe rry St., Ste I
1 6. Contrac tor phone number:
9 70778 78 50
1 7. Contrac tor company email:
kwitt@premier-roofi ng.com
1 8. Lic ense number:
R-21 89
1 9. Certificate number:
4 886-R
2 0. Work performe d by:
Exempt Roofer (1099 )
2 1. Exe mpt roofer name:
Ardon Roofing
2 2. Exe mpt R oofe r Lic ense EX_____:
1 5(R )
2 3. Additional Infor mation if a pplicable:
Resid en tial re -ro of u sing 22 SQ GAF Armor Shield II class 4 sh in gl es, re -applyin g fo r permit because in itial p ermit
e xpired b efore final i nsp ecti on w as scheduled .
3. Review
2 4. I hereby a cknowledge tha t I have read this a pplication and s tate that the abov e informa tion is comple te and
c orrect. I agr ee to comply with a ll requirements containe d herein and c ity or dinance s and state laws regulating
building construction. I know that a perm it is not valid until it has be en paid and issue d.
Signa tu re of: Kend ra Witt
Date Signed:
0 2/08 /2 021
2 5. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
kwitt@premier-roofing .com
4. Thank You!
Thank you for submitting your a pplication for pr ocess ing.
To submit a nother over the counte r a pplica tion, click here.