HomeMy WebLinkAbout4955 BLUESTEM CT - PERMITS - 5/19/2021 City ®� 28Y N. College
Development&Neighborhood Services
F •r Ave Fort Collins, CO 80,522
ort Collins970.221.6760 970.224.6134 -fax
Building Permit#: B2103842
Issued Full: 06/19/2021
Permit Type: Residential Roofing
Site Address: 4955 BLUESTEM CT
Job Valuation: $11,000.00 Category: Residential
Owner: SPRAGUE PATRICIA J
4955 BLUESTEM CT
FORT COLLINS, CO 80525 Phone: 303-941-7888
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: 2 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: TOPCO ROOFING, LLC License#: R-2399 Supervisor cert#:
.3613 SETTLERS ROAD, PO Box 703
LAPORTE, CO 80535 Phone:970-221-0435
Subcontractor(s) Phone License Number
Roofing: TOPCO ROOFING, LLC 970-221-0435 R-2399
Work Description: Tear off existing shingles and re-roof 25 squares with Malarkey Class 4 impact resistant asphalt shingles. Provide
required attic ventilation.Install required ice and water shield. Install shingles per manufacturer's high-wind specifications. 1-2
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 05/19/21: $340.75 Payment method: Credit Card 3734
**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\Mth 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 Wthin 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
City ®f Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80,522
6rt Collins 970.221.6760 970.224.6134 -fax
Building Permit#: B2103842
Issued Full: 06/19/2021
Permit,Type: Residential Roofing
Site Address: 4955 BLUESTEM CT
Job Valuation: $11,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK#3734 05/19/2021 $340.75
Receipt issued: 05/19/2021 Total Paid to Date: $340.75
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $211.75 $211.75 05/19/2021 $0.00
County Sales/Use Tax 100.217030 $44.00 $44.00 05/19/2021 $0.00
Permit Flat Fee -$85 1000.422010 $85.00 $85.00 05/19/2021 $0.00
TOTAL FEES: $340.75 $340.76 $0.00
TOTAL BALANCE DUE AS OF 05/19/2021: $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City
® Collins Date
• • • • • • • • • •
Application#
281 N College Ave. 970-416-2740
Fort Collins,CO 80524 buildingservices@fcgov.com
ALL information is REQUIRED.Incompleteapplications
Job Site Address ��S ,��$ e,eu City/State/Zip
�s�•S
Property Owner Information
Name Phone Number
Address !�195-5— jf 1oe54-e-I.� CL City/State/Zip j �,Jrl�s Ld
C? ' ® CJ S ni gle Family Detached 0 Townhome(attached) C Duplex ®Apartmenticondo 0 Garage/Other
® 0 Bank O Bar O Church Q Hotel/Motel Q Medical Office 0 Office Q Retail Q Restaurant
COMMERCIAL_STRUCTURES
Are you tearing off existing roofing materials to the decking? er'Yes 0 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 O No Will any insulation be removed/replaced? O Yes i o II
• s •
.- •. )j L40 0
Materials
Manufacturer wt410V16S #of Squares #of Stories l/.A-
FLAT ROOF(less than 2:12 pitch) 0 Yes 0)No
.00 O Roof epair 49%of roof area max.Class 4 shingle is not required. Note location(s)of areas
to be repaired in space
® G Roof Repair 50%or more of roof area. Class 4 shingle is>regguir�ed/. 7 provided below.
Additional Information �� L-a4,t:gY
(if applicable) T tA d" '
Contractor Information
Name Cc--� Podgy,
Address 3 Gr 3 5e (�w t
�= n/ City/State/Zip
Phone Number `�l� Q Email .(-1a�i� .����Y lC LCh�t
License Certificate
O License/Certificate Holder Coll Employees a Exempt Roofer(1099): EX-
0 Homeowner Company Name:
requirements,I hereby acknowledge thati have read this application and state that the,aboveinformation is complete and correct. I agree to comply
with all • -• herein and city ordinances an• state laws regulating building • •n. I know that a permit,• until it has been paid • issued.
Print Name Owe �`�r Signature I Date