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Home My WebLink About2626 ASHLAND LN - PERMITS - 6/15/2021City of Fort Collins Site Address: 2626 ASHLAND LN Job Valuation: $7,800.00 Category: Residential Owne r: JUSTUS TR EVOR/ELIZABETH 4748 WITHERS DR FORT COLLINS , CO 80524-6066 Zoning : Fron tsetback: Rear setback: Community Development & Neig h borhood Services 281 N. College Ave Fort Collins, CO 80522 970.221 .6760 970.224 .6134 -fax Building Permit#: 82104558 Issued Full: 06/15/2021 Permit Type: Residential Roofing Phone: 303-931-2086 R ight set back: ____ _ Left setback Mino r Am end#: ______ Plat File#: _____ ZBA Case #: Zoni ng d i stric t: LM N -LOW DENSITY MIXED-USE NEIGH BOR HOOD DIS T RICT Legal: S ubdiv isio n/PU □: ________________ Fi ling#: Lot #: 5 Block#: 10 ------------ Code: Res sq ft: # of stories: ___ 2 ___ _ Fire Sp rk lr: Com sq ft: 0cc Group: Sto ck plan #: ---- Contractor: RUSTY BUCKET , LLC OBA TICO'S ROOFIN G PO Box 1326 Ft. Collins , CO 80522 Subcontractor(s) Roofing . RUS TY BUCKET, LLC OB A TICO I nd sq ft: Basement sq ft: _______ _ Const Type: ---------------------Stock plan options: _________________ _ License #: R-3641 ( +) Ph one: 970-566-1884 Phone 970-566-1884 Supervisor cert#: License Number R-3641(+) Wo rk Description: Tear off existing sh ingles a nd re-roof 26 squares w ith Malarkey L agacy Class 4 impact res istant asphalt s hin gl es. Provide requi red attic ventilation. Instal l required ice and water sh ield. Inst all shing les per ma nufact urer's high-wind specificat ions 2 Story . Payroll employees to do the work . Constructi on waste ma nagement plans a re required to comple te roofing pe rm its. Construction waste management plans can be s ubmitted e lectronically or emaile d to environmentalcomplianc e@fcgov.com. *NOTE: If you are in recei pt of a Letter o f Completi on , a ll requirements li sted above have been completed* SCHEDULE INSPECTIONS: ** via Text Message : 888-406-6394 ** By Phone : 970-221 -6769 ** On li ne Portal : fcgov .com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mob i le Possible Inspections Required: 410 409 TOTAL FEES PAID AS OF 06/15/21: $266.35 •• Fee Detail Displayed on Next Page Payment method: Credit Card 3049 As a cond ition 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 wi th such work. I understand that suc h permit may be revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authoriz:ed by such permi t 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. Signature : Print Name: Date: -------------------------------------Form Revised Oct 2010 City of Fort Collins Site Address: 2626 ASHLAND LN Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Perm it#: B2104558 Issued Full : 06/15/2021 Permit Type: Residential Roofing Job Valuation: $7 ,8 00.00 Category: Reside ntial Transactions Method Cb!il~k ~YII!b!ilr Dsiit: Psiid Credit Card CK# 3049 06/15/2021 R ec eipt issued : 06/15/202 1 Total Paid to Date: Fee Descril:!t ion Account Code C ity Sales/Use Tax 251.12203 0 County Sa les/Use T ax 100.217030 Permit Flat Fee -$85 1000.422 010 TOTAL FEES: Amoyot Paid Comme ots $266.35 $266 3 5 Fee Amount Amount Paid Date Paid $150.15 $150.15 06/15/2021 $31.20 $31 .20 06/15/2021 $85.0 0 $85.00 06/15/202 1 $266.35 $266.35 TOT AL BALANCE DUE AS OF 06/15/2021: Amount Due $0.00 $0.00 $0 .00 $0.00 Fee Amounts are valid for date of this d o cum e nt only . Fe es s ubje ct to c hange without n o tice. Form Rev ised Oct 20 10 City of Date _________ _ k~ol~s ROOFING PERMIT APPLICATION Application # 28 1 N College Ave. Fort Collin s, CO 8 05 24 I 970-416-27 4 0 buildingservices @fc gov.c om ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address 2626 Ashland Ln Property Owner Information Name Trevor Justus Address 2626 Ashland Ln City/State/Zip Fort Collins CO 80524 Phone Number _3_0_3_9_3_1_2_0_8_6 _______ _ City/State/Zip Fort Collins CO 80524 ---------------I I Apartment/Condo I Garage/Other I • COMMERCIAL I Bank I Bar I Church I Hotel/Motel I Medical Office I Office I Retail r Restaurant I COMMERCIAL STRUCTURES ------- ---i Are you tearing off existing roofing materials to the decking? I Yes I No ' If keeping existing layers, how many layers are there?____ What kind of material are they? ! What new roofing materials are you using? _____________________________ _ I 1s there existing insulation? r Yes l N o Will any insulation be removed/replaced? l Yes l No $ $ 7,800.00 Materi als Manufacturer Malarkey Legacy # of Squares _2_6 ______ # of Stories _2 ______ _ FLAT ROOF (le ss than 2:12 pitch) I Yes C-J No r Roof Repair 49% of roof area max. Class 4 shingle is not required . C-Roof Re pair 50% or more of roof area. Class 4 shingle is regujred . I N~te loca~on(~) of areas l I to be repaired tn space provided below. Additional Information (if applicable) Contractor Information Name Rus ty Bucke t LLC dba Tico's Roofing Address PO Box 1326 Phone Number 970-566-1884 License R-3641 ( +) Email Certificate City/State/Zip Fort Collins CO 80522 ticoroofing@hotmail.com 4018-R(+) I License/Certificate Holder C-Payroll Employees I Exempt Roofer (1099): EX-l I Homeowner Company Name: ________ _ ----------------- I hereby acknowledge that I have re ad this application and state th at the ab ove informa ti on is co m p lete a nd correct. I agree to comply with all requirements contained herein and c ity ordinances and state laws re g ulat ing building construction . I know that a permit is not valid until it has been paid and issued. l l[ll ( f 5'/ 1ffl r Date