Loading...
HomeMy WebLinkAbout200 S GRANT AVE - PERMITS - 5/19/2021Site Addres s : 200 S GRANT AVE Community Development & Neighborhood Serv ices 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Bui lding Pe rmit#: 82103839 Issued F u ll: 05/19/2 0 21 Permit Type: Residential Roofing Job V al u ation : $15,817.45 Category : Residential Owne r: BOHM ANTON PEDRO WILLEM 200 S GRANT AVE FORT COLLINS, CO 80521 Phone: 970-227-5904 Zo ning: Front setback: ______ Rear setback: _____ Right setback: ____ _ Minor Amend#: ______ Plat File# _____ ZBA Case #: Zoning district NCL -NEIGHBORHOOD CONSERVATION -LOW DENSITY DISTRICT Left setback: Le gal: Subdivision/PUD: ________________ Filing#: Lo t #: B lock #: Code : Res sq ft: ____ Com sq ft: # of stories: 1 0cc Group: Fire Sprklr ____ Stock p la n #: ___ _ Contra cto r: LION HOME SERVICE OBA DENALI ROOFING 4600 Innovation Dr., Ste. 102 FORT COLLINS , CO 80525 Subcontract o r(s) Roofing: LION HOME SERVICE OBA DENA -------- I nd sq ft: Bas ement sq ft : _______ _ Const Type: ____________________ _ St ock plan options: ------------------ License #: R-4123 ----- Phone: 970-939-0033 Phone 970-939-0033 Supervis or c e rt#: License Number R-4 123 Work Description: Tear off existing sh ingles and re-roof 24 squares with GAF Class 4 impact resistant as pha lt shin gles . P rov ide required attic ventilation. Install required ice and water sh ield. Install shingles per manufacturer's high-wind specifications. 1 Stories. GTO Roofing to do the work. Construction waste management plans are required to complete roofing permits. Construction waste management plans c an be submitted electronically or emailed to environmentalcompliance@fcgov.com *NOTE: If you are in r eceipt of a Letter of Completi on , all requi rements listed above have been completed* SCHEDULE INSPECTIONS : ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 ** On line Portal : fcgov.com/CitizenAccess ** On l ine Porta l via Mobile Device: fcgov .com /CitizenAccess/mobile I Possible Inspect ions Requi red : 410 409 TOTAL FEE S PAI D A S OF 0 5/19/2 1 : $4 52.76 P a yme nt meth o d: C r edit Card 7652 •• 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 descri be d 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 perm it shall become null and vo id if the work authorized by such perm it is not co mmenced . 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: Prin t Na me: Date: ------------------------------------- Form Re vised Oct 2010 City of ,ktColli~ Site Address: 200 S GRANT AVE Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: 82103839 Issued Full : 05/19/2021 Permit Type: Res idential Roofing Job Valuation : $15,817.45 Category : Residential Transactions Method Credit Card Check Numbe r CK# 7652 Date Paid 05/19/2021 Receipt is s ued: 05/19/2021 Total P aid to Date : Fee Description City Sa l es/Use Tax County Sales/Use Tax Permit Flat Fee -$85 Account Code 251.122030 100.217030 1000.422010 TOTAL FEES: Amount Paid $452 .76 $452.76 Comments Fe e Amount Amount Paid $304.49 $304.49 $63.27 $63.27 $85.00 $85.00 $452.76 $452.76 Date Paid 05/19/2021 05/1 9/2021 05 /1 9/2021 TOT AL BALANCE DUE AS OF 05/19/2021: Amount Due $0.00 $0.00 $0.00 $0 .00 Fee Amounts a re valid for date of this document only . Fees subject to change without notice. Form Revised Oct 2010 Building Permit Over the Counter Application 2. 1. Job site address: 200 S . Grant Avenue 2. Property owner name: Ann Bohm -Sma ll 3 . Property owner address: Street Address: : 200 S. Grant Avenue City: : Fort Collins State:: CO Zip:: 80521 4. Property owner phone number: 970-227-5904 5. Project type: Residential 6. What type of residential? Sing le Family Detached 7 . Value of work (Labor and Materials)($): 15817.45 8. Type of permit: Roofing Please note: each individual lot requires a separate application and permit. 9. Manufacturer of materials: GAF 10. Number of squares: 24 11 . Number of stories: 12. ls it a flat roof (less than 2 :12 pitch)? No 13.Check one: Roof Repai r 50% or more of roof area. Class 4 s hingle is required. 14. Contractor company name: Li on Home Service DBA Den ali Roofing Inc. 15. Contractor company address: 4600 Innovation Drive , Suite 102 16. Contractor phone number: 970-660-4417 17. Contractor company email : swi lliams@I ion homeservice .com 18. License number: R-4123 19. Certificate number: 4970-R 20. Work performed by: Exempt Roofer (1099) 21. Exempt roofer name: GTO Roofing 22. Exempt Roofer License EX __ : 218(R) 23. Additional Information if applicable: 3. Review 24. 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. Signature of: Sam Wi ll iams Date Signed: 05/12/2021 25. Please include an email address to receive a confirmation and a copy of your answers. swilliams@lionhomeservice .com 4. Thank You! Thank you tor submitting your application tor processing. To submit another over the counter application, click here.