HomeMy WebLinkAbout4926 NORTHERN LIGHTS DR - GAZEBO 1 OF 2 - PERMITS - 3/24/2021City of
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Site Address: 4926 NORTHERN LIGHTS DR
Job Valuation : $2,226.00 Category: Residential
Own er: MORNINGSIDE VILLAGE MASTER
8101 E PRENTICE AVE STE 815
ENGLEWOOD, CO 80111
Zoning : Front setback: Rear setback:
Minor Amend#: ______ Plat File#:
Zoning district: HC -HARMONY CORRIDOR DISTRICT
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#: B2102151
Issued Full: 03/24/2021
Permit Type: Residential Roofing
Phone: 720-974 -4131
Right setback: ____ _ Left setback:
ZBA Case#:
Lega l: Subd ivision/PUD: ________________ Filing#: Lot#: Block#:
Code: Res sq ft: Corn sq ft: Ind sq ft:
# of stories:
Fire Sprklr
0cc Group: Const Type: ____________________ _
Stock plan #: Stock plan options:
Basement sq ft: _______ _
--------
Contractor: HERITAGE ROOFING & CONTRACTING, INC .
6508 S . Racine Circle
License#: R-4084-R(+)
Phone: 303-794-3573
Supervisor cert#:
Centennial, CO 80111
Subcontractor(s)
Roofing: HERITAGE ROOFING & CONTRAC
Phone
303-794-3573
License Number
R-4084-R( +)
Work Description: Tear off e:><isting shingles and re-roof 6.36 squares with Nordic Class 4 impact resistant asphalt s hingles . Provide
required attic ventilation. Install required ice and water shield . Install shingles per manufacturer's high-wind specifications 1 Stories.
Leo Construction to do the wo rk. * WORK TO BE ON 1 of 2 GAZEBOS*
Construction waste management plans are required to complete roofing permits. Construction waste management plans can be
submitted electronically or emailed to environrnentalcornp l iance@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
** On li ne Portal: fcgov .com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com /CitizenAccess/mobile
Possible Inspections Req u i red: 410 409
TOTAL FEES PAID AS OF 03/24/21: $136.75
** Fee Detail Displayed on Next Page
Payment method: Credit Card 6315
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perfonn 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 permi t 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
Site Address: 4926 NORTHERN LIGHTS DR
Job Valuation: $2,226.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK#63'5 03/24/2021 $136 .75
Receipt issued: 03/24/2021 Total Paid to Date: $136 .75
Fee Descri12tion Account Code Fee Amount
City Sales/Use Tax 251.122030 $42 .85
County Sales/Use Tax 100.217030 $8 .90
Permi t Flat Fee -$85 1000.422010 $85.00
TOTAL FEES: $136 .75
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
CQmments
Amount Paid
$42.85
$8.90
$85.00
$136.75
Building Permit#: B2102151
Issued Full: 03/24/2021
Permit Type: Residential Roofing
Date Paid
03/24/202 1
03/24/2021
03/24/2021
Amount Due
$0.00
$0.00
$0.00
$0.00
TOT AL BALANCE DUE AS OF 03/24/2021:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
~s ROOFING PERMIT APPLICATION
Application #
281 N College Ave. 970-416-2740
Fort Collins. CO 80524 buildingservices@fcgov.com
ALL information is REQUIRED . In c omplete appli cations will not be accepted.
Job Site Address Lf,Vit? ,Alor+han l 'CJ his Dr City/State/Zip ,1«-t{]!/ins/ o 205;) z3
Property Owner Information
Name (Jllota,~Yde.. r/ifu~ /n4Lsftr/ktu. Phone Number 7J.o .qzt/-Lf/.5{
Address //()o;) &atoo [5/;, City/State/Zip t/lfe5hnifl!:tf r; { 0 3DDaD
0 Single Family Detached O Townhome (attached) 0 Duplex 0Apartment/Condo ============================================================~~vs
0 Bank O Bar O Church () Hotel/Motel O Medical Office () Office ORetall 0 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? ~ Yes O No
If keeping existing layers, how many layers are there? ____ What kind of material are they?
What ,ew roofi"" materials ace you using? {)l,uln5 tom i '° E/ey {'fa;; l f { a:,phalt dlf~)
Is there existing insulation? 0 Yes O No Will any insula~n be removed/replaced? 0 Yes O No
Mater ials
Manufacturer tJu )W 5 {,arn[n~
FLAT ROOF (less than 2:12 pitch) 0 Yes 0) o
$ _1
# of Squares --~~ __ #of Stories --~----
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
(/J Roof Repair 50% or more of roof area. Class 4 shingle is required.
Not~ 16c~tlon(s) of are;s to' b,etepalred in space ·•.. .
pro_vided below; . . .
~--·· ?' ·. ~
Additional Information
(if applicable)
Name -1-..µ..L..J'-'---L4~~-+~~~-=-1--1--i-,,-1.1-.r-J-LL'4LJL..1.P-.w.<'-I--------------------
Address &,572 R S, l2acJQ Lc
Phone Number 308· Jqt.f .. ~512
License /<. -l/ V 'it/ ( + )
City/State/Zip Ll,/1 fmnf«cl {;,O 'x()JI/
Email _,,,;;tJ............,ra.~{i)~n-J..Je'""'-'I._,_/f!{'--"'-'-"'~--4'-e..._ft,.....0.....,_0.,,_...-HIL-«ny"'+· ........ c ........ o.L...,/)y~l--
Certificate ___;;4/+-,,<,l.'j'---<q,_,3~_.-[2..=----(__,__-f-+) _________ _
>~ }t'9f~fL · ~•:--~~:.w:):'.~ ~s-:K"\ ~:\."}[j~!
(WQ.~K-~PgBF®RMijcl;~ft'.j
~/_,:{~~~;;;, ~-~~~i~-~:;~ _:'~;1 ~ ,:~~?;~(~~
0 License/Certificate Holder O Payroll Employees (J.> Exempt Roofer (1099): EX--+.-+-~c-L::~-
0 Homeowner Company Name: L!IJ ffYl:,/r(,,((,pO/J
I hereby acknowledge that I have read this applicatio n and state that th e abov e inform atio n is comp le te a nd c orrect. I agree to comply
w ith all requirements contained he 1•ein and city ordinances and state laws regulating bui l ding construct ion. I know that a permit is not
valid until it has been paid a nd issued .
Signature