HomeMy WebLinkAbout1130 W OAK ST - PERMITS - 6/17/2021City of
k tColli~
Site Address : 1130 W OAK ST
Commun ity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Perm it#: B2104720
Issued Full: 06/17/2021
Permit Type : Residential Roofing
Job Valu ati on : $17,000.00 Category: Residential
Owner: DEVINE NANCY B
1130 W OAK ST
FORT COLLINS, CO 80521 Phone: 970-381-5326
Zoning: Frontsetback: ______ Rearsetback: _____ Rightsetback: ____ _
Minor Amend#: ______ Plat File# _____ ZBA Case #:
Zoning district: NCL -NEIGHBORHOOD CONSERVATION -LOW DENS ITY D I STRICT
Left setback:
Legal : Subdivision/PUD Fil ing# Lot#: B l ock#: ------------------------
Code: Res sq ft: ____ Com sq ft:
# of stories: 2 0cc Group:
F ire Sprklr ____ Stock plan#: ___ _
Contractor: AMERICAN ROOFING AND RESTORATIONS
PO Box 270705
Ft. Collins, C) 80527
Subcontractor(s)
Roofing AME~ICAN ROOFING AND RESTO
Ind sq ft:
Const Type
Basement sq ft: _______ _
---------------------Stock plan options: ------------------
License # R-3725 -----
Phone 970-460-8720
Phone
970-460-8720
Supervisor cert#:
Lic e n se Number
R-3725
Work Description : Tear off existing shingles and re-roof 56 squares w ith GAF Armorshield Class 4 impact resistant asphalt shingles
Provide required attic ventil at on. Install requi red ice and water shield . Install shingles per manufacturer's high-wind specificati ons. 2
Story. Payroll employees to do the work.
Constru ction waste management plans are required to complete roofing permits. Construction waste m a nagement plans can b e
submitted electronically or ema iled to environmenta lcompliance@fcgov.com .
SCHEDULE INSPECTIONS : ** v ia Text Messa ge : 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 PAIDAS OF 06/17/21: $480.25
•• Fee Detail Displayed on Next Page
Payment m e thod: Check 1982 .
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 prope rty de scri bed herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I underst and 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
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82104720
Issued Full: 06/17/2021
Permit Type : Residential Roofing
Site Address: 1130 W OAK ST
Job Valuation: $17,000.00 Category: Residential
Transactions
Method Che!;;k Nym!;!er Ds:1te Ps:1id
Check CK# 1982 06/17/2021
Receipt issued: 06/17/2021 Total Paid to Date :
Fee Descri12tion Account Code
City Sales/Use Tax 251 122030
County Sa les/Use Tax 100.217030
Permit Flat Fee -$85 1000.422010
TOTAL FEES:
AWQYDt Ps:1id C2wmentl2
$480.25
$480.25
Fee Amount Amount Paid Date Paid
$327.25 $327.25 06/17/2021
$68.00 $68.00 06/17/2021
$85.00 $85.00 06/17/2021
$480.25 $480.25
TOTAL BALANCE DUE AS OF 06/17/2021:
Amount Due
$0.00
$0 .0 0
$0 .00
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
k,!_Soll~
Community Deve lopment and Neighborhood Services
281 N College
Fort Collins, CO 80524 970-416-27 40
Application # f_)tJ 6 1 ] Z..,0
Date Received I , I , Z l
ALL information is REQUIRED. ln-::omplete applications will not be accepted.
Job Site Address
Address 1130 W. Oak St City/State/Zip Fort Co llins, CO 80521
Property Owner Information
Address 1130 W. Oak St N.t.V\t.d t)e,v if't,
\
City/State/Zip Fort Collins, CO 80521
Phone Number ('176) .38/ -5"3:l{,.
,' ~. ,.:; ,,, •, ¥"' .~ -. -. '\'
(Q)RESIDEN!IAL ,: @single Family Detached OTownhome (attached) Qcuplex 0 ApartmenVCondo 0 Garage/Other
0 Bank O Bar O Church O Hote~Motel O Mecical Office O Office ORetail 0 Restaura nt
Value of Construction
Residential value will be calculated per square (1 sq= 100 sf). COMMERCIAL: _abor a,d Materials $ _ _,(_] .... ,,-~l'.1,.._Q~O~, _0_0 _____ _
Materials
HMll•i#ffllfi4#f GAF Armorshield
■§►il;J•MiiWfM■ 0 Yes @No
0 Roof Repair 49% of roof area max. Cass 4 sh ngle is not required.
@ Roof Repair 50% or more of roof area. Class L sh ingle is required.
COMMERCIAL STRUCTURES
OYes @No
Are you going to be tearing off or keep ing existing layers? ____ f keepinr existin:;i layers, how many layers are there? ___ _
What kind of material are they? __________ What rew roofing mate--ials are you using?
Is there existing insulation? 0 Yes O No If there is existing irsulation, is it staying o· will it be removed? _________ _
Contractor Information
Name Ameri can Roofi ng and Restorations
Address PO Box 270705 City/State/Zip Ft. Collins, CO 80527
Phone Number 970-460-8720 E,1a il crp@americanrcofingandrestorations.com
WORK PERFORMED BY 0 Homeowner @Payroll Emr;loyees O E.><empt Roofer (1099): EX-_________ _
c::impany Name: American Roofing and Restorations
License: 00136633 Certificate: R-3 725
I hereby acknowledge that I have read this application and state that l1e above informa:ion is complete and correct. I agree to comply
with all requ irements contained herein and city ordinances and &tate laws regulating bu lding construction. I know that a permit is not
valid until it has been paid and issued.
Ch rist a Robiso n-Peb ley 6/17/202 1
Print Name Signature Date