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HomeMy WebLinkAbout3348 SAM HOUSTON CIR - PERMITS - 5/19/2021Site Address: 3348 SAM HOUSTON CIR Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 8052 2 970.221.6760 970.224.6 134 -fax Building Permit#: B2103840 Issued Full: 05/19/2021 Permit Type : Residential Roofing Job Valuati o n: $13,377.82 C ategory: Residenti al Owner: MITCHELL CAROLINE 3348 SAM HOUSTON CIR FORT COLLINS, CO 80526-2532 Zo nin g: Front setback: ______ Rear setback: Minor Amend#: ______ Plat File#: Ph o ne: 970-689-8462 Rig ht setback: ____ _ Left setback: ZBA Case#: ----- Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: ________________ Filing#: Lot#: Block# -------- Code: Res sq ft: # of stories: Fire Sprklr: Com sq ft: 0cc Group: Stock p lan #: ___ _ Contractor: LION HOME SERVICE OBA DENALI ROOFING 4600 Innovation Dr., Ste . 102 FORT COLLINS, CO 80525 Subcontractor(s ) Roofing: LION HOME SERVICE OBA DENA Ind sq ft: Basement sq ft: --------Const Type ____________________ _ Stock plan options: _________________ _ License #: R-4123 ----- Phone 970-939-0033 Phone 970-939-0033 Supe rvi so r cert#: License Number R-4123 Work Description: Tear off existing shingles and re-roof 25 squares with GAF Class 4 impact resistant aspha lt shingles. P rovide requ ired attic ventilation . Install required ice and water shield. Install shingles per manufacturer's high-wind specif ications . 1 Stories. GTO Roofing to do the work. Construction waste management plans are required to complete roofing permits . Construct ion waste management plans can be submitted electronically o r emai led to environmentalcompli ance@fcgov.com . *NOTE If you are in receipt of a Lett er of Completion, all requirements listed above have been completed* SCHEDULE INSPECTIONS: ** v ia Text Message: 888-406-6394 ** By Phone : 970-221-6769 ** On line Portal: fcgov.com/CitizenAccess ** Online Porta l via Mobile Device : fcgov.com/CitizenAccess/mobile Possible Inspections Required: 410 409 TOTAL FEES PAID AS OF 05/19/21 : $396.03 •• Fee Detail Displayed on Next Page Payment method: Credit Card 7652 As a condition fo r the issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed wor k on the property described herein . I agree to comply with all the requirements contained herein, and City ordinances , and State laws associa ted 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 . S_ ignature: Print Name: Date: -------------------------------------Form Revised Oct 2010 City of ,ktColli~ Site Address: 3348 SAM HOUSTON CIR Job Valuation: $13,377.82 Category: Residential Transactions Method Credit Card Check Number CK# 7652 Date Paid 05/19/2021 Receipt issued: 05/19/2021 Total Paid to Date: Fee Description City Sales/Use Tax County Sales/Use Tax Permit Flat Fee -$85 Account Code 25 1.122030 100.217030 1000.422010 TOTAL FEES: Amount Paid $396.03 $396 03 Fee Amount $257.52 $53.51 $85.00 $396.03 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221 .6760 970.224.6134 -fax Building Permit#: 82103840 Issued Full: 05/19/2021 Permit Type : Residential Roofing Comments Amount Paid $257.52 $53.51 $85.00 $396.03 Date Paid 05/19/2021 05/19/2021 05/19/2021 Amount Due $0.00 $0 .00 $0 .00 $0.00 TOT AL BALANCE DUE AS OF 05/19/2021: Fee Amounts are va l id for date of this document only. Fees subject to change without notice. Form Revised Oct 2010 ~ l-,t O 1 ~() Building Permit Over the Counter Application 2. 1. Job site address: 3348 Sam Houston Cricle 2. Property owner name: Caro line Mitchell 3 . Property owner address: Street Address: : 3348 Sam Houston Circle City: : Fo rt Coll ins State:: CO Zip:: 80526 4 . Property owner phone number: 970-689-8462 5. Project type: Residentia l 6. What type of residential? Si ng le Fam ily De tached 7. Value of work (Labor and Materials)($): 13377.82 8. Type of permit : Roofing Please note: each individual lot requires a separate application and permit. 9. Manufacturer of materials: GAF 10. Number of squares: 25 11. Number of stories : 12. ls it a flat roof (less than 2:12 pitch)? No 13. Check one : Roof Repair 50% or more of roof area. Class 4 shingle is requ ired. 14. Contractor company name: Lion Home Service OBA Denali Roofing Inc. 15. Contractor company address: 4600 In novation Dri ve, Su ite 102 16. Contractor phone number: 970-660-4417 17. Contractor company email: swil liams@lion homeservice.com 18. License number: R-4 123 19. Certificate number: 4970-R 20 . Work performed by: Exempt Roofer (1099) 21. Exempt roofer name : GTO Roofi n g 22. Exempt Roofer License EX __ : 2 18(R) 23. Additional Information if applicable: 3. Review 24 . I hereby acknowledge that I have read this applicati on and state that the above information is complete and correct. I agree to comply with all requirements contained herein and c ity ordinances a nd state laws regulating building construction. I know that a permit is not valid until it has been paid and issued. Signature of: Sam Will iams Date Signed : 05/18/2021 25 . Please include an email address to receive a confirmation and a copy of your answers. sw illi ams@li onhomeservice.com 4. Thank You! Thank you for submitting your application for processing. To submit another over the counter application, click here.