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HomeMy WebLinkAbout622 W MOUNTAIN AVE - PERMITS - 5/20/2021 CitCity ®f Community Development&Neighborhood Services y] ■ 281 N. College Ave Fort Collins, CO 80522 Fcrt : oLLi n s 970.22i.6760 970.224.6.134 -fax Building Permit#: B2104721 Issued Full: 06/17/2021 Permit Type: Residential Roofing Site Address: 622 W MOUNTAIN AVE Job Valuation: $18,000.00 Category: Residential Owner: WHEELER GREGORY T/ELIZABETH 622 W MOUNTAIN AVE FORT COLLINS, CO 80521 Phone 970-690-3143 Zoning: Front setback: Rear setback: Right setback: Left setback. Minor Amend# Plat File#• ZBA Case# Zoning district: NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD Filing#P Lot# Block# Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft: # of stories 1 Occ Group Const Type Fire Sprklr Stock plan # Stock plan options Contractor: AMERICAN ROOFING AND RESTORATIONS License# R-3725 Supervisor cert#' PO Box 270705 Ft. Collins, CO 80527 Phone. 970-460-8720 Subcontractor(s) Phone License Number Roofing AMERICAN ROOFING AND RESTO 970-460-8720 R-3725 Work Description' Tear off existing shingles and re-roof 59 squares with GAF Armorshield 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 License 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 ISCHEDULE 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 06/17/21: $503.50 Payment method: Check 1983 **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 Community Development&Neighborhood Services Fort CollI ns 281 N. College Ave Fort Collins, CO 80522 970.221.6760 970.224.6134 -fax Building Permit#: B2104721 Issued Full: 06/17/2021 Permit Type: Residential Roofing Site Address: 622 W MOUNTAIN AVE Job Valuation: $18,000.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Comments Check CK# 1983 06/17/2021 $503.50 Receipt issued: 06/17/2021 Total Paid to Date: $503 50 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due City Sales/Use Tax 251 122030 $346 50 $346.50 06/17/2021 $0 00 County Sales/Use Tax 100.217030 $72.00 $72.00 06/17/2021 $0 00 Permit Flat Fee -$85 1000 422010 $85.00 $85 00 06/17/2021 $0 00 TOTAL FEES: $503.50 $503.50 $0.00 TOTAL BALANCE DUE AS OF 06/17/2021: $0.00 Fee Amounts are valid for date of this document only.Fees subject to change without notice. Form Revised Oct 2010 FCity of {�// y�/, ®rt Collins Application# U L..1 lJIA7?j • ROOFING PERMIT Date Received (g 17, 2 Community Development and Neighborhood Services 281 N College Fort Collins, CO 80524 970-416-2740 ALL information is REQUIRED.Incomplete applications will not be.accepted. Job Site Address Address 622 W. Mountain Ave City/State/Zip Fort Collins, CO 80521 Property Owner Information Address 622 W Mountain Ave a,�n °19 f�pel� City/State/Zip Fort Collins, CO 80521 Phone Number (970)690-3143 r "`� ®RESIDENTIAL ()Single Family Detached 0Townhome(attached) 0 Duplex °Apartment/Condo 0 Garage/Other ©COMMERCIAL ®Bank QBar 0Church 0Hotel/Motel 0 Medical Office 0Office 0 Retail QRestaurant Value of Construction Residential value will be calculated per square(1 sq= 100 sf).COMMERCIAL. Labor and Materials$ /S,one). CO Materials MANUFACTURER GAF Armorshield #OF SQUARES 59 #OF STORIES 1 FLAT ROOF(less than 2:12 pitch) ()Yes QQ No RESIDENTIAL ANY WORK TO CHIMNEY? ()Yes QQ No 0 Roof Repair 49%of roof area max. Class 4 shingle is not required. Roof Repair 50%or more of roof area. Class 4 shingle is reauired. COMMERCIAL STRUCTURES Are you going to be tearing off or keeping existing layers? 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? 0 Yes 0 No If there is existing insulation, is it staying or will it be removed? Contractor Information Name American Roofing and Restorations Address PO Box 270705 City/State/Zip Ft. Collins,CO 80527 Phone Number 970-460-8720 Email crp@americanroofingandrestorations corn WORK PERFORMED BY 0 Homeowner ®Payroll Employees Q Exempt Roofer(1099): EX- Company Name- American Roofing and Restorations License: 00136633 Certificate. R-3725 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. Christa Robison-Pebley 6/17/2021 Print Name Signature C Date