HomeMy WebLinkAbout634 MATHEWS ST - PERMITS - 10/7/2020 (2)Owner:OSBORN DAVID L (.50)GRETCHEN G (.50)
1302 S SHIELDS ST A-203
TIMNATH,CO 80547 Phone:970-689-8803
Zoning:Front setback:Rear setback:Right setback:Left setback:
Minor Amend #:Plat File #:ZBA Case #:
Zoning district:NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT
Legal:Subdivision/PUD:Filing #:Lot #:Block #:
Code:Res sq ft:Com sq ft:Ind sq ft:Basement sq ft:
#of stories:3 Occ Group:Const Type:
Fire Sprklr:Stock plan #:Stock plan options:
Contractor:NOCO ROOFING
303 W.Harmony Rd
Fort Collins,CO 80526
License #:R+-3696
Phone:970-223-7663
Supervisor cert #:
Subcontractor(s)Phone License Number
Roofing:NOCO ROOFING 970-223-7663 R+-3696
Work Description:Tear down to decking,reroof with 67.44 squares EPS Taper System and Single Ply Membrane (45MIL).Provide
required attic ventilation.Install required ice and water shield.Install per manufacturer's high-wind specifications.3 Stories.Arroyo
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 10/07/20:$388.59 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 #:B2011138
Issued Full:10/07/2020
Permit Type:Residential Roofing
Site Address:634 MATHEWS ST
Job Valuation:$13,488.00 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 10/05/2020 $388.59
Receipt issued:10/07/2020 Total Paid to Date:$388.59
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $259.64 $259.64 10/05/2020 $0.00
County Sales/Use Tax 100.217030 $53.95 $53.95 10/05/2020 $0.00
Permit Flat Fee -$75 1000.422010 $75.00 $75.00 10/05/2020 $0.00
TOTAL FEES:$388.59 $388.59 $0.00
TOTAL BALANCE DUE AS OF 10/07/2020:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2011138
Issued Full:10/07/2020
Permit Type:Residential Roofing
Site Address:634 MATHEWS ST
Job Valuation:$13,488.00 Category:Residential
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Form Revised Oct 2010
Building Permit Over the Counter Application
2.
1.Job site address:
634 MATHEWS ST FORT COLLINS, CO 80524
2.Property owner name:
OSBORN, DAVID & GRETCHEN
3.Property owner address:
Street Address: : 1302 S SHIELDS ST STE A-203
City: : TIMNATH
State: : CO
Zip: : 80547
4.Property owner phone number:
(970) 689-8803
5.Project type:
Residential
6.What type of residential?
Apartment/Condo
7.Value of work (Labor and Materials)($):
13488.00
8.Type of permit:
Roofing
Please note: each individual lot requires a separate application and permit.
Please note: each individual appliance requires a separate application and permit.
9.Manufacturer of materials:
EPS TAPER SYSTEM + SINGLE PLY MEMBRANE (45MIL.)
10.Number of squares:
67.44
11.Number of stories:
3
12.Is it a flat roof (less than 2:12 pitch)?
Yes
13.Are you tearing off existing roofing materials to the decking?
Yes
B2011138
9/30/2020
1 4. How ma ny layers are there?
2
1 5. What kind of ma terial a r e they ?
SINGLE PLY MEMBRAN E, GRAVEL BAL LAST
1 6. Is the r e existing ins ulation?
Yes
1 7. Will any insula tion be rem oved/repla ce d?
No
1 8. Contrac tor company na m e:
NOC O ROOFING
1 9. Contrac tor company address:
3 03 W H ARMONY ROAD FOR T C OLLIN S C O 8 0526
2 0. Contrac tor phone number:
9 70-2 23 -766 3
2 1. Contrac tor company email:
OFFICE@NOC OROOFING.COM
2 2. Lic ense number:
R+369 6
2 3. Certificate number:
2 432-R+
2 4. Work performe d by:
Exempt Roofer (1099 )
2 5. Exe mpt roofer name:
AR ROYO ROOFIN G
2 6. Exe mpt R oofe r Lic ense EX_____:
4 1 R
3. Review
2 8. 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: H ENRIETTA TIND ALL
Date Signed:
0 9/30 /2 020
2 9. Please include an e m ail addre ss to receive a c onfirma tion and a c opy of your a nswers.
OFFICE@NOCOROOFING.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.