HomeMy WebLinkAbout4926 NORTHERN LIGHTS DR - GAZEBO 2 OF 2 - PERMITS - 3/24/2021City of
k tColli~
Site Address: , 4926 NORTHERN LIGHTS DR
Job Valuation: $2,226 .00 Category: Residential
Owner: MORNINGSIDE VILLAGE MASTER
8101 E PRENTICE AVE STE 815
· ENGLEWOOD, CO 801 11
Zoning: Front setback: Rear setback:
Minor Amend #: ______ Plat Fil e #:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82102152
Issued Full: 03/24/20 21
Permit Type: Residential Roofing
Phone: 720-974-4131
Right setback: ____ _ Left setback:
ZBA Case#:
Zoning district: HC -HARMONY CORRI DOR DISTRICT
Lega l: Subdivision/PUD ________________ Filing#: Lot #: Block#: --------
Code : Res sq ft: ____ Com sq ft:
# of stories: ____ 0cc Group :
Fire Sprk lr: ____ Stock p lan #: ___ _
Contractor : HERITAGE ROOFING & CONTRACTING, INC.
6508 S. Rac ine Circle
Centennial, CO 80111
Subcontractor(s)
Roofing : HERITAGE ROOFING & CONTRAC
Ind sq ft
Const Type
Basement sq ft: ---------:---------------------Stock plan options: ------------------
Lice nse#: R-4084-R(+)
Phone: 303-794-3573
Phone
303-794-3573
Supervisor cert#:
License Numbe r
R-4084-R(+)
Work Description: Tear off existing shingles and re-roof 6.36 squares with Owens Corning Class 4 impact resistant asphalt shingles.
Provide required attic ventilation. Install required ice and water shield. Install shingles pe r manufacturer's high-wind specifications. 1
Stories. Leo Construction to dJ the work . *WORK TO BE DONE ON 2 of 2 GAZEBOS*
Construction waste management plans are required to complete roofing permits. Construction waste management plans can be
submitted electronically or emailed to environmenta lcompliance@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
** Online Portal: fcgov .com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 41 O 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 , autho rized 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
k tColli~
Site Address: 4926 NORTHERN LIGHTS DR
Job Va l uation: $2,226.00 Category: Residential
Transactions
Method Check Number Date Paig Amount Paid
Credit Card CK#63'5 03/24/2021 $136.75
Receipt issued: 03/24/2021 Total Paid to Date: $136.75
Fee DescriRtion Account Code Fee Amount
City Sales/Use Tax 251 .122030 $42.85
County Sales/Use Tax 100 .217030 $8.90
Permit 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
Comments
Amount Paid
$42.85
$8.90
$85.00
$136.75
Building Permit#: 82102152
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 valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
Date-+------''----=....=:..---,J:ort Collins
/~ ROOFING PERMIT APPLICATION
Application # ~'J_ \,,U J,.! Sl.
281 N College Ave. S?0-416-2740
Fort Collins, CO 80524 t:uildingservices@fcgov.com
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address ¥Via ;t(or+hern l ,q frts De City/State/Zip '/i>d{)!/insl 1, o 205;; 8
Property Owner Information
Name m Q/'f1 1Dtj <xde.. r/i 11.d.-:!f ,tnt&sftc/kw. Phone Number 7J. 0 . q 7 t/. Lf/.5 I
Address //DD;) &atoo 5/;. City/State/Zip/llfemoskr; (O woao
. ) • p 0 Single Family Detached O Town home (attached) 0 Duplex ·0 Apa1iment/Condo ===========================================================~~~...,s
0 Bank O Bar O Church {) Hotel/Motel O Medical Office {) Office ORetail 0 Restaurant
COMMERCIAL STRUCTURES
Are you tearing off existing roofing materials to the decking? ~ Yes O No
If kee ping existing layers, how many layers are the re?____ What kind of material are they?
What oew rnofing mat<,,ialsara you using? OW/£15 &Ct0 i'° f/o; C'!a2l '/ (a6{/htut ,Ylro(/es)
Is there existi ng insulation? 0 Yes O N o Will any insula~n be removed/replaced? 0 Yes O No
$ • -, (/<._.,}'
Materials
Manufacturer 0()., JW,5 lar11[a~
FLAT ROOF (less than 2:12 pitch) 0 Yes 0) o
# of Squares -\..o ;s l9 # of Stories __ ..__ ___ _
t•1, i~;t :::,::r:0:•h ;/,'l<l:,]'''r_,_/ JJ.if~~r~ -~::-:.-
: ~'§1\,Flbl(t. lRqP~Bs~AIR,S~
~fr:HXJ,~;,:,::i :: -;,~-1,~.; }:; ;;;~}
0 Roof Repair 49% of roof a rea max. Class 4 shingle is not required.
(/J Roof R epair 50% or more of roof area. Class 4 shingle is required.
Ni[~ :tJ116n(s) of areas : .
ti{~~ (epa/te~lp space > ·•
pr9y1qed ,b~lcw~;: < '
Additional Information / etubh. Jl{_:f>C I d fjtlZlCiJ..S af .5a/fll addLe,'i5
(i f a pplicable)
Contractor lnformption
Name Jdt/, TC(,J(, /2oolil?j Cf CqnirtLi~
Address &.572 R S. /2ae,14 (<e ti r City/State/Zip L/f) /t,Jwf«.~ {!,.a 'i{l)/1/
Phone Number !&3 · 71'-/· ,851? Email ~e,f/fdffLOOlfn£;; {,,om
License /( ~ l/ V '$t./ (+) Certificate -If+-. _'j_,q~2~-~/l~(f,__,,_} _____ J ____ _
0 License/Certificate Holder O Payroll Employees ¢ Exempt Roofer (1099): EX--+-~,t,.<4-'--""--
0 Homeowner Company Name: L to ttY1.:druc:/itJll
!tf?}j(f:/::J~:~]f;!~f:;
}.WQIRttRERFiDR~ED'. BY-;;.:.J
&: ,.: ~~::id;:/~:-~-~~~-_;:j\ ~~:.~=✓ I:~:
I hereby acknowledge that I have read this application and state that the a bove informat ion is complete a nd correct. I agree to comply
wi th all requ irements contained herein and city ordinances and state laws regulating build111g construction . I know that a permit is not
valid until it has been paid and issued.
Print Name Signature