HomeMy WebLinkAbout6433 WESTBOURN CIR - PERMITS - 6/16/2021City of
,ktColli~
Site Address: 6433 WESTBOURN CIR
Job Va luation: $11,200 .00 Category: Res idential
Owner: PEARSON ROBERT A/SUSAN M
6433 Westbourn Ct
FORT COLLINS, CO 80524
Zoning: Front setback: Rear setback
Commu n i t y Developmen t & Neighborhood Services
281 N . College Ave Fo rt Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82104611
Issued Full: 06/16/2021
Permit Type: Res idential Roofing
Phone: 970-402-7075
Right setback ____ _ Left setback:
Minor Amend#: ______ Plat File# _____ ZBA Case #:
Zoning d istrict: RL -LOW DENSITY RES I DEN TIAL DISTRICT
Legal: Subdivision/PUD ________________ Filing#: Lot#: Block#:
Code : Res sq ft: ____ Com sq ft: Ind sq ft: ______ Basement sq ft: _______ _
# of stories: 1.5 0cc Gro up: Const Type: ---------------------Fire Sprklr: ____ Stock plan #: ____ Stock plan options _________________ _
Contractor: TOPCO ROOF ING, L LC License#: R-2399 Supervisor cert#:
3613 SETTLERS ROAD, PO Box 703
LAPORTE , CO 80535 Phone 970-22 • -0435
Subcontractor(s) Phone License Number
Roofing TOPCO ROOFING , LLC 970-221-0435 R-2399
Work Description: Tear off existing shingles and re-roof 23 squares with Owens Corning Class 4 imp act resistant asphalt shingles.
Provide required attic ventilation . Install required ice and water shield . Insta ll shingles per manufacturer's high-wind specifications. 1.5
Story. Payroll employees to do the work.
Construction waste management plans are required to complete roofing perm its . 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/C itizenAccess ** Online Portal via Mobile Device: fcgov .com/CitizenAccess/mobile
Possible Inspections Required: 410 409
TOTAL FEES PAID AS OF 06/16/2 1: $345.40
•• Fee Detail Displayed on Next Page
Payment method : Credit Card 3734
As a condition for the issuance of a perm it, I hereby declare that I am the owner or owner's agent, authorized to perform the prop osed work on the property described herein.
I agree to comp ly with all the requ iremen ts contained herein, and City ordinances. and State laws associated with such work . I understa nd that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and vo id 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
Site Address: 6433 WESTBOURN CIR
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#: 82104611
Issued Full : 06/16/2021
Permit Type: Residential Roofing
Job Valuation: $11,200.00 Category: Residential
Transactions
Method Che&ls N!,HDl2er Date Paid
Credit Card CK# 3734 06/16/2021
Receipt issued: 06/16/2021 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:
Amou □t Paid Comment~
$345.40
$345.40
Fee Amount Am ount Paid Date Paid
$215.60 $215.60 06/16/2021
$44.80 $44.80 06/16/2021
$85.00 $85.00 06/16/2021
$345.40 $345.40
TOTAL BALANCE DUE AS OF 06/16/2021:
Amount Due
$0 .00
$0.00
$0.00
$0.00
Fee Amounts a r e val id for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010
City of
k~olli~s ROOFING PERMIT APPLICATION
Application #
281 N College Ave. 970-416-2740
Fort Collins, CO 80524 buildingservices@fcgov.com
ALL information is REQUIRED. Incomplete applications will not be accepted.
Job Site Address --~t~4~t./~· ..... 3 ..... >~--l\.J""""'-'e..-~ .... • _._b~c-:v-'-'f-"'--=-___,.('."""',~--'---------
Property Owner Information
Name ~o\,e,'°'J. £>~.,..__yct,cv'-Phone Number q70 l/o(;l ') t:>'?S:
Address fcii/ 3 c U,; e..~ ~ e-:i\r'-' <:.. v-City/State/Zip £-i(~IJ"::"::> Cc, :t;,65 ;f/
~amily Detached O Townhome (attached) 0 Duplex 0 ApartmenUCondo 0 Garage/Other
Q sank O sar Q church 0 Hotel/Motel 0 Medical Office O Office O Retail Q Restaurant
COMMERCIAL STRUCTURES
! Are you tearing off existing roofing materials to the decking? ~ N~
i If keeping existing layers, how many layers are there?____ What kind of material are they?
! What new roofing materials are you using? ....,tJ=--~ ... c"'-'-. _____,-D=D--'-<'=c.l:=--1_1..c="'----=5=·-::\<:;-'-=:v"---v-$--------------------
1_ Is there existing insulation? 0 Yes O No Will any insulation be removed/replaced? 0 Yes 0-No
$
Materials
Manufacturer Dv---C--vf"':> L-o v-"'-~~
FLAT ROOF (less than 2:12 pitch) Q Yes 01 No
# of Squares --=..2:.....-.,"3'-------# of Stories ___,_J~Zu.1'.e--"-------
0 Roof Repair 49% of roof area max. Class 4 shingle is not required.
G-R'oofRepair 50% or more of roof area. Class 4 shingle is requ ired.
Note location(s) of areas
to be repaired in space
provided below.
Additional Information
(if applicable)
Contractor Information
Name Ip~ Co ~'1.1.<!:.~\..----b
Address 3, 1'3 S-e--U \.w 6c J
Phone Number q '] C -~ io / 4 O -~
License ________________ _
City/State/Zip l,_,o t°v-~ c'c ~Of; 05
Email Dcwc.. • C,l<J,.v-Lc. i!_, 1vf~c., 120-.:.T:'l5, CcV\
Certificate
0 License/Certificate Holder ~II Employees O Exempt Roofer (1099): EX-7 0 Homeowner Company Name:
I hereby acknowledge that I have read this application and state that the above information is complete and correct. I agree to comply
with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a permit is not
valid until it has been paid and issued.
Signatur e -~ Date &/;fr,;J..i