HomeMy WebLinkAbout4926 NORTHERN LIGHTS DR - CLUBHOUSE - PERMITS - 3/24/2021City of
k tColli~
Community Development & Neighborhood Ser vices
281 N . College Ave Fort Collins, CO 80522
970.221 .6760 970.224.6134 -fax
Building Permit#: B2102150
Issued Full : 03/24/2021
Site Address : 4926 NORTHERN LIGHTS DR, CLUBHOUSE
Permit Type : Residential Roofi n g
Job Valuation: $11,263.00 Category: Residential
Owne r: MORNINGSIDE V IL LAGE MAST ER
8101 E PRENTICE AVE STE 815
ENGLEWOOD, CO 80111
Zoning: Front setback Rear setback:
Minor Amend #: ______ Plat File #:
Phone: 720-974-413 1
Rig ht setback ____ _ Left setback:
ZBA Case#:
Zoning d istrict HC -HARMONY CORRI DO R D I STRICT
Legal: Subdivision/PUD ________________ Filing# Lot#: Block#: --------
Code: Res sq ft: ____ Com sq ft:
# of stories: ____ 0cc Group:
Fire Sprklr: ____ Stock plan #: ___ _
Contractor: HERITAGE ROOFING & CONTRACTING, INC .
6508 S Racine C ircle
Centennial, CO 80111
Subcontractor(s)
Roofing: HER ITAGE ROOFING & CO NTRAC
I nd sq ft: Basement sq ft: _______ _
Const Type : ____________________ _
Stock plan options: _________________ _
License#: R-4084-R(+)
Phone: 303-794-3573
Phone
303-794-3573
Supervisor cert#:
License Number
R-4084-R(+)
Work Description: Tear off existing shing les and re-roof 32 .18 squares with Owens Corning Class 4 impact resistant asphalt sh ingles.
Provide required attic ventilation. Install required ice and wa ter shield . Install shingles per manufacturer's high-wind specifications. 1
Stories. Leo Construction 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 environmentalco mplian ce@fcgov.com. *NOTE : If you are in receipt of a Letter of Completion ,
all requirement s listed above have been com plet ed*
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 Requi red : 410 409
TOTAL FEES PAID AS OF 03/24/21 : $346.86
** Fee Detail Displayed on Next Page
Payment method: Credit Card 6315
As a cond ition fo r the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed wo rk 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
revo ked 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.
Ca r bon Monoxide Alarm required with in 15 feet of each bedroom entrance.
Signature: Print Name: Date: -------------------------------------
Form Revised Oct 2010
City of k t Colli!!:>
Site Address: 4926 NORTHERN LIGHTS DR, CLUBHOUSE
Job Valuation: $11,263.00 Category: Residential
T ransactions
Method Ch~ck Number D~te Paid Amount Paid
Credit Card CK#63 15 03/24/2021 $346.86
Receipt issued: 03/24/2021 Total Paid to Date: $346.86
Fee Descri~tion Account Code Fee Amount
City Sa l es/Use Tax 251.122030 $216.81
County Sales/Use Tax 100.217030 $45.05
Permit Flat Fee -$85 1000.422010 $85.00
TOTAL FEES: $346.86
Community Development & Neighborhood Services
281 N. College Ave Fort Collins , CO 80522
970.221.6760 970.224.6134 -fax
Comments
Amount Pa id
$216 .81
$45.05
$85.00
$346.86
Building Permit#: 82102150
Issued Full : 03/24/2021
Permit Type: Residential Roofing
Date Paid
03/24/2021
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 val id for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
~4lo.~
Cltyof
~s ROOFING PERMIT APPLICATION Da~ ---""........C'----'-'-----
Applicatlon # ___f-:, 1 \;{) 1, \CoG
281 N College Ave . 970-416-2740
Fort Collins, CO 80524 buildlngservi ces@fcgov.com
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address ¥V0 1.Jor+hern l ,q his De City/State/Zip ?nr±C~l/ihs/J> 205;2 z3
Property Owner Information
Name rn arn;99 side. (/; f/.i,j( (f}ll.bitc/kw. Phone Number 7J. D . q 7tf. L/1.5 I
Address // ()D,;J 8e,ntoo t5t: City/State/Zip v'l,JeS-fmi11=1( r; { 0 WDaO
0 Single Family Detached O Townhome (attached) 0 Duplex 0 Apartmenl/Condo ®
0 Bank O Bar O Church O Hotel/Motel O Medical Office O Office 0 Retail 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 klnd of material are they?
What ,ew roofiog materlala ,,. you eslng? {)wW5 tom i'" Bo c/aSJ t/ {a;,phait ct»+)
Is there existing insulation? 0 Yes O No Will any ins;a~n be removed/replaced? 0 Yes O No
$
Materials • I • ,
Manufacturer f2lA JW 5 {ort1[fl~
FLAT ROOF (less than 2:12 pitch) Q Yes 0) o
# of Squares bl ,)~ -# of Stories --~----
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
9J Roof Repair 50% or more of roof area. Class 4 shingle is requjred.
N;te'loca\ion(~) ~f ~reas .
·to.be repaired in space
prp~idfd ;bt1low ...
Additiona l Information \ -~..._-......__,._.......,..._
(if applicable)
Contracto; rformation
Name Hf/I ~a.ye, 12ooffay <f Co(Jfr~,ttl&:y r .
Address (J,s]) X'. S. f2ae-14 e,, {11 r City/State/Zip Ll.f] /U)nitl.~ C-0 WI/
Phone Number ju 2· 7 qt./· ()512 Email (5Ua(g)heJ'J Af,ff LO olfrJkj {, 6,Yl
License fl._ ~ l/ V 'it/ {+) Certificate ---'-4/+---'j_,q'-"3""'--.....,!2,=-'-(-f,____,,_) _____ J ____ _
0 License/Certificate Holder O Payroll Employees ¢ Exempt Roofer (1099): EX--1---1--1,,l-1-L.----""--
O Homeowner Company Name: L ff) [fJ/1,:dru{,,ff(}/]
I hereby ackn owledge tha t I have read this application and state that the above information is complete and correct. I agree to comply
with all requiremen ts contained hernin and city ordinances and state laws regulating building construction. I know that a permit is not
valid until it has been paid and issued.
Print Name Signature
s