The URL can be used to link to this page

Home My WebLink About949 FOXTAIL ST - PERMITS - 7/22/2021City of ,ktColli~ Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970 .221.6760 970.224.6134 -fax Building Permit#: Iss ued Full : 82105824 07/22/2021 Permit Type: Residential Roofing Site Address : 949 FOXTAIL ST Job Valuation: $13,000 .00 Catego ry: Residential Owner: MILLER SULEEPORN/LEE A 949 FOXTAIL ST FORT COLLINS, CO 80524 Zoning : Front setback Rear setback: Minor Amend #: ______ Plat File #: Phone: 970-498-9452 Right setback Left setback: ----- ZBA Case#: Zoning district RL -LCW DENSITY RESIDENTIAL DISTRIC T Legal: Subdivision/PUD: _________________ Filing# Lo t#: B lo ck#: -------- Code: Res sq ft: # of stories: -=2 ___ _ Fire Sprklr Contractor: Subcontractor(s) Com sq ft: 0cc G roup: Stock p lan #: ___ _ Ind sq f t: Basement sq ft ________ _ Const Type: _____________________ _ Stock plan options: ------------------- License #: Supervisor cert#: Phone Phone License Number Work Description: Tear off existing shing les and re-roof 21.' squares with Fla tiron Steel 26 Gauge PBR metal roof. Provide required attic ventilation. Install required ice and water shie ld. Install shingles per manufacturer's high-wind specificati ons. 2 Story . Homeowner affidavit on file . Construction waste management plans are required to complete roofing permi t s. Construction waste management plans can be submitted electronically or emailed to environmentalcompliance@fcgov.com. *NOTE : If you are in re ceipt of a Letter of Completion , all req uireme nts 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 : 41 0 409 TOTAL FEES PAI D AS OF 07/22/2 1: $387.25 •• Fee Detail Displayed on Next Page Pay ment method: Credit Card 3292 As a condition for the issuance of a perm it, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the property described herein. I agre e to comply with all the requ irements contained herein, and City ordinances , and State laws associated with such wo rk . 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 withir 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 201 O City of k tColli~ Site Address: 949 FOXTAIL ST Job Valuation: $13,000 .00 Category: Residential Transactions Method Cred it Card Check Number CK# 3292 Date Paid 07/22/2021 Receipt issued: 07/22/2021 Total Paid to Date: Fee Description City Sales/Use Tax County Sa les/Use Tax Perm it Flat Fee -$85 Account Code 251.122030 100 .217030 1000.422010 TOTAL FEES: Amount Paid $387 25 $387.2 5 Fee Amount $250.25 $52.00 $85.00 $387.25 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224 .6134 -fax Comments Amount Paid $250.25 $52 .00 $85.00 $387.25 Building Permit#: 82105824 Issued Full: 07/22/2021 Permit Type: Residential Roofing Date Paid 07/22/2021 07/22/2021 07/22/2021 Amount Due $0.00 $0.00 $0.00 $0.00 TOT AL BALANCE DUE AS OF 07/22/2021: Fee Amounts are valid for date of t his document only. Fees subject to change without notice. Form Revised Oct 2010 City of k_!Soll~ 281 N College Ave. Fort Coll ins, CO 80 524 ROOFING PERMIT APPLICATION 970-416-27 40 buildingservices@fcgov.com Applica tion # ALL information is REQUIRED. Incomplete applications will not be accepted. Job Site Address 949 Foxta il St Property Owner Information Name Lee Miller Address 949 Foxtail St City/State/Zip Fort Co lli ns, CO 80524 Phone Number _9_7_0_4_9_8_9_4_5_2 _______ _ City/State/Zip Fo rt Collins, CO 80524 @RESIDENTIAL @ Single Family Detached O Townhome (attached) 0 Duplex Q Apartment/Condo O Garage/Other (i)COMMERCIAL 0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office O Retail 0 Restaurant COMMERCIAL STRUCTURES Are yo u tearing off existing roofing material s to the decking? 0 Yes O No If keeping existing layers , how many layers are there? ___ _ What kind of material are they? W hat new roof ing materials a re you using? _____________________________ _ Is there ex istin g insulation ? C' Yes O No Will any insulat ion be removed/replaced? 0 Yes O No $ $ 13,000.00 Materials Manufacturer F latiron Steel 26 Gauge PBR Meta l Roof # of Squares _2_,_1_1_0 ____ # of Stories _2 ______ _ FLAT ROOF (less than 2 :12 p itch) 0 Yes O No ASPHALT ROOF REPAIRS ONLY 0 Roof Repair 49% of roof area max. Class 4 shingle is not requ ired . 0 Roof Repair 50% or more of roof area . Class 4 s hingle is required . Note location(s) of areas to be repai red in spa ce provided below. Add it ional Information (if appli cable) Contractor Information Name Lee Miller Address 949 Foxtai l St Phone Number 9704989452 Li cense NA --------------- Email Certifi cate City/State/Zip Fort Collins, CO 80524 starfoxACEFOX@yahoo.com NA 0 Lice nse/Certificate Holder O Payroll Employees O Exempt Roofer (1099): EX-_____ _ WORK PERFORMED BY @ Homeowner Com pany Name: ________ _ I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to co mply with all requirements contained herein and city ordinances and state laws regulating buildi ng construct ion. I know that a permit is not valid until it has been paid and issued. •., _ .. (~~:~-. ,.___, c..----~ Print Name Lee Miller Signature c; . .:--------Date 7 I 16/2 0 2 1 City of ktColl~ Building Services PO Bo x 580 281 N College Ave Fort Collins, CO 80524 970-416-2740 phon e 970-224-6 134 fax HOMEOWNER AFFIDAVIT I/we, s~ ~ N /v1 I W...efi'. ' as owne,(s) of ,eco,d ofthe pmperty located At: q j-;=;/(sf r~ c!ot(/tJ5 goqfotcollins, Colorado, hereby declare and attest to the following: (please check only the one that applies): OPTION 1: OPTION2: OPTION 3: □ I am/ we are acting on my/ our behalf for the purpose of obtaining a building permit and personally constructing my/our home. The home to be constructed is on the above property and will be my/our primary residence. I/we have not personally constructed any other new homes in the Fort Collins city limits within the past 24-month period. y{ I am/we are acting on my/our behalf for the purpose of obtaining a building permit and · personally constructing an alteration or addition to my/our house, acting as our own general contractor. The house to be altered is on the above property and is my/our personal primary residence. □ I am/we are acting on my/our behalf for the purpose of obtaining a building permit and personally constructing a non-structural alteration to my/our attached single family dwelling unit. The house to be altered is my/our personal primary residence. I am aware that I/we cannot do any structural, electrical, plumbing or mechanical work and must hire contractors/subcontractors who are currently licensed and insured with the City of Fort Collins. I am/we are personally performing all of the work or hiring City of Fort Collins licensed trades people, or will be continuously supervising unpaid volunteers (see Option 3 for attached dwellings). The work is directly related to the construction of the above referenced home. I/we understand that any person(s) or agent(s) contracted to perform structural wood-framing, plumbing , HVAC, electrical or roofing work, MUST BE licensed contractors in accordance with the regulation of the City of Fort Collins. I/we understand that failure to comply with any of the above conditions may result in revocation of any permits associated with the above Permit Application number, forfeiture of any fees that have been collected, a Stop Work Order and potentially a court summons. Sign in the presence of Notary Public ~ t,&}L Owner Co-owner The foregoing Affidavit was acknowledged before me on this,_iA~~-,---,-.--.---- ~~~\A\\ 1.u) .. J (month, year) by---1,.AJ..u..d'4-.AJ..ll.-lL...:..-1,--,,<J-4'1-l.....L:.-'-+--1---P,1--""---,R Witness my hand and official seal My commission expiresr.· ~~~~~~~~~~~7' RACHEL BESEL Notary Publ i c State of Colorado Notary ID# 20174000633 My Commission Expires 03-03-2025 Revised 6/10/2014