HomeMy WebLinkAbout2020 ORCHARD PL - PERMITS - 6/28/2021City of
k tColli!!:
Site Address: 2020 ORCHARD PL
Job Valuation: $9,192.00 Category: Residential
Owner: MACK SARAH KIRSTEN WHITE
2020 ORCHARD PL
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82105044
Issu ed Full: 06/28/2021
Permit Type: Residentia l Roofi ng
FORT COLLINS, CO 80521-3213 Phone:
Z oning: Front setback: Rear setback: Ri ght set back: ____ _ Left setback
Minor Amend# ______ Plat File#: _____ ZBA Case #:
Zoning district RL -LOW DENS ITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD
Code: Res sq f t:
________________ Filing# Lot# Block#:
# of stories: 2 ----Fire Sprklr:
Com sq ft:
0cc Group
Stock plan #: ___ _
--------
Ind sq f t : Basement sq ft: --------Const Type : ____________________ _
Stock plan options: _________________ _
Contractor: RELIABLE ROOFING AND RESTORATION , INC .
1313 W. 121 st Ave.
License# R-4335(+)
Phone: 303-657-3009
Supervisor cert#
Westminster, :::o 80234
Subcontractor(s)
Roofing RELIABLE ROOFING AND RESTO
Phone
303-657 -3009
License Numbe r
R-4335(+)
Work Description : Tear off existing shingles and re -roof 30 squares with GAF Class 4 impact res ista nt asphalt shingles . Provide
re q ui red attic ventilation. Instal l required ice and water shi eld. Install shingles per manufacturer's high-wind specifications . 2 Sto ry .
Best Roofing Restoration to do the work.
Construction waste management p lans are required to complete roofing perm its . Co nstruction was te management plans can be
subm itted electronically or errailed t o environmentalcomp liance@fcgov.com . *NOTE: If you are in rece ipt of a Letter of Completion,
al l requirements listed above rave 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: 410 409
TOTAL FEES PAID AS OF 06/28/21 : $298.72
** Fee Detail Displayed on Next Page
Payment method: Credit Card 1113
As a cond ition for 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 requ irem,mts conta ined 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.
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: 2020 ORCHARD PL
Job Valuation: $9 ,192.00 Category: Res identi al
Transactions
Method
Credit Card
Check Number
CK#1113
Date Paid
06/28/2021
Rece ipt issued: 06/28/2021 Tota l Paid to Date:
Fee Description
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$85
Account Code
251 .1 22030
100.217030
1000.422010
TOTAL FEES:
Amount Paid
$298 72
$298.72
Fee Amount
$176.95
$36.77
$85.00
$298.72
Community Development & Neighborhood Services
281 N . College Ave Fort Collins, CO 80522
970.221.6760 970.224 .6134 -Jax
Building Permit#: B2105044
Issued Full: 06/28/2021
Permit Type: Residential Roofing
Comments
Amount Paid
$176.95
$36.77
$85.00
$298.72
Date Paid
06/28/2021
06/28/2021
06/28/2021
Amount Due
$0 .00
$0.00
$0.00
$0 .00
TOT AL BALANCE DUE AS OF 06/28/2021:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of k~oll~ ROOFING PERMIT APPLICATION
Date _________ _
281 N College Ave.
Fort Collins, CO 80524
970-416-27 40
buildingservices@fcgov.com
Application #
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Addre ss cl. D d---D C, c c k,2-c J J? \ -
Property Owner Information
Name '1:>r . ~a cn h Mo....c.l Phone Number
Address ct-6~ O O £' c ho, I' /4 J? \ c
• Single Family Detached (' Townhome (atta ched) (' Duplex (' Apartment/Condo (' Garage/Other
• COMMERCIAL { Bank (' Bar (' Church (' Hote l/Motel (' Medical Office (' Office (' Retail (' Re staurant
COMMERCIAL STRUCTURES
Are you tearing off existing ro ofing materials to the decking? 0 Yes (' No
If keeping existing layers, how many layers are the re? N k What kind of material are they?
What new roofing materials are you using? GA~ -~ s~ A r M!)r-$\..-.. ~ t-\ <A I ( \ o .. $:S L/
Is there existing insulation? f Yes (' No Will any ins ulation be removed/replaced? C Yes O No
$
Materials
Manufacturer -~--""'"A---',=-'----------------# of Squares __ 3_() ____ # of Stories __ :)___ _____ _
FLAT ROOF (l e ss than 2 :12 p itch) • Ye s \) No 7 S k.,,.,-,.,. -fee -t
ASPHALT ROOF REPAIRS
ONLY
Additional Information
(if applicable)
(' Roof Repair 4 9% of roof area max. Class 4 shingle is not required.
Cl Roof Repair 50% or more of roof area. Class 4 shingle is required .
Contract~lnformation
:::ss i~\~~. Tu:·ii~
Phone Number o03-loo'1 ... 3009
License ----1----~--~L.{3jc...+-~t;)_....,_-+-____ _
Note location (s) of areas
to be repaired in spa ce
provided below.
(' License/Certificate Holder (' Payroll Employees 8> Exempt Roofer (1099): EX-c[f4~
I
WORK PERFORMED BY
(' Homeowner
I hereby acknowledge t hat I have read this a p plication and state that the above information is complete and correct. I agree to comply
with all requ irements contaired herein and c ity ordinances and state laws regulat ing bui ld in g construction. I know that a permit is not
valid until it has been paid and issued.
K rvr"j/1 Gt>t-1-t",to
Print Name Signature Date