HomeMy WebLinkAbout1933 WALLENBERG DR - PERMITS - 3/26/2021Owner:STILL MICHAEL E/ROBYN S
1933 WALLENBERG DR
FORT COLLINS,CO 80526 Phone:303-829-0337
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:SEVERE WEATHER ROOFING
3307 S College Ave #220
FORT COLLINS,CO 80525
License #:R-2152
Phone:970-223-2455
Supervisor cert #:
Subcontractor(s)Phone License Number
Roofing:SEVERE WEATHER ROOFING 970-223-2455 R-2152
Work Description:Tear off existing shingles and re-roof 38 squares with Owens Corning Duration Storm 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 Story.Alvarez 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 03/26/21:$466.22 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 #:B2102215
Issued Full:03/26/2021
Permit Type:Residential Roofing
Site Address:1933 WALLENBERG DR
Job Valuation:$16,396.39 Category:Residential
Signature:Print Name:Date:
Form Revised Oct 2010
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/26/2021 $466.22
Receipt issued:03/26/2021 Total Paid to Date:$466.22
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
City Sales/Use Tax 251.122030 $315.63 $315.63 03/26/2021 $0.00
County Sales/Use Tax 100.217030 $65.59 $65.59 03/26/2021 $0.00
Permit Flat Fee -$85 1000.422010 $85.00 $85.00 03/26/2021 $0.00
TOTAL FEES:$466.22 $466.22 $0.00
TOTAL BALANCE DUE AS OF 03/26/2021:$0.00
Community Development &Neighborhood Services
281 N.College Ave Fort Collins,CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #:B2102215
Issued Full:03/26/2021
Permit Type:Residential Roofing
Site Address:1933 WALLENBERG DR
Job Valuation:$16,396.39 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
___________________________________________________________________________________________
___________________________________________________________________________________________
1933 Wallenburg Dr Fort Collins,Co 80526
Michael Still 303-829-0337
1933 Wallenburg Dr Fort Collins,Co 80526
$ 16,396.39
Owens Corning Duration Storm 38 2
Severe Weather Roofing and Restoration,LLC.
3307 S College Ave Ste 220 Fort Collins,Co 80525
970-223-2455 Home@severeweatherroofing.com
R-2152 3124-R
84
Alvarez Roofing
Shanell Goldman 3/25/2021Shanell Goldman Digitally signed by Shanell Goldman
Date: 2021.03.25 14:17:49 -06'00'
Reset Form
03.26.2021
B2102215