HomeMy WebLinkAbout1004 CASTLEROCK DR - PERMITS - 6/15/2021City of ktColli~ Site Address: 1004 CASTLEROCK DR Job Valuation: $6,900.00 Category: Residential Owner: THEODORATUS M KATHLEEN LIVING TRUST 900 WORTHINGTON CIR APT 229 FORT COLLINS, CO 80526-1853 Zoning: Front setback Rear setback: Minor Amend#: ______ Plat File#: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82104560 lss ued Fu II: 06/15/2021 Permit Type: Residential Roofing Phone: 303-931-2086 Right setback: ____ _ Le ft setback: ZBA Case# Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUO Code: Res sq ft: ----------------Filing#: Lot#: Block#: --------# of stories: Fire Sprklr: Com sq ft: 0cc Group: Stock plan #: ----Contractor: RUSTY BUCKET, LLC OBA TICO'S ROOFING PO Box 1326 Ft Collins, CO 80522 Subcontractor(s) Roofing RUSTY BUCKET, LLC OBA TICO Ind sq ft: Const Type: Basement sq ft: -----------------------------Stock plan o::>tions: ------------------License #: R-3641 ( +) Phone 970-566-1884 Phone 970-566-1884 Supervisor cert#: License Number R-3641(+) Work Description: Tear off existing shingles and re-roof 23 squares with Malarkey Legacy 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 Story. 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 I Possible Inspections Required: 410 409 TOTAL FEES PAID AS OF 06/15/21: $245.43 Payment method: Credit Card 3049 •• 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. Signature: Print Name: Date: -------------------------------------Form Revised Oct 2010
City of Fort Collins ~..,__ Site Address: 1004 CASTLEROCK DR Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2104560 Issued Full: 06/15/2021 Permit Type: Residential Roofing Job Valuation: $6,900.00 Category: Residential Transactions Method Chei.ls ~Ymber Qfil...efilit Credit Card CK# 3049 06/15/2021 Receipt issued: 06/15/2021 Total Paid to Date: Fee Descri~tion Account Code City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 Permit Flat Fee -$85 1000.422010 TOTAL FEES: Amouat Es!id Commeat~ $245.43 $245.43 Fee Amount Amount Paid Date Paid $132.83 $132.83 06/15/2021 $27.60 $27.60 06/15/2021 $85.00 $85.00 06/15/2021 $245.43 $245.43 TOTAL 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 document only. Fees subject to change without notice. Form Revised Oct 2010
City of k~olli~s ROOFING PERMIT APPLICATION Date _________ _ 281 N College Ave. Fort Collins, CO 80524 970-416-27 40 buildingservices@fcgov.com Application # ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address 1 004 Castlerock Dr City/State/Zip Fort Collins CO 80521 Property Owner Information Name Kathleen Theodoratus Phone Number _3_0_3_9_3_1_2_0_8_6 _______ _ Address 1 004 Castlerock Dr City/State/Zip Fort Collins CO 80521 (' Apartment/Condo \ Garage/Other \ Bank \ Bar \ Church \ Hotel/Motel \ Medical Office \ Office \ Retail \ Restaurant COMMERCIAL STRUCTURES Are you tearing off existing roofing materials to the decking? (' Yes C 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 Additional Information (if applicable) Contractor Information Name Rusty Bucket LLC dba Tico's Roofing Address PO Box 1326 Phone Number 970-566-1884 License R-3641 ( +) Will any insulation be removed/replaced? \ Yes \ No $ $ 6,900.00 # of Squares _2_3 ______ # of Stories _1 ____ '-----City/State/Zip Fort Collins CO 80522 Email _t_ic_o_ro_o_f_in_g_@_h_o_tm_a_il_.c_o_m _________ _ Certificate _4_0_1_8_-_R_(+_) ______________ _ WORK PERFORMED BY \ License/Certificate Holder (e Payroll Employees \ Homeowner (' Exempt Roofer (1099): EX-_____ _ Company Name: ________ _