HomeMy WebLinkAbout2631 SHADOW CT - PERMITS - 9/9/2021Site Address: 2631 SHADOW CT
Job Valuation: $6,750.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit#:
Issued Full:
82107215
09/09/2021
Permit Type: Residential Roofing
Owner: PILLMORE RICHARD EUGENE LIVINC Phone: 303-443-2230
TRUST
2631 SHADOW CT
Zoning: Front Setback: Rear Setback: Right Setback: Left Setback:
Minor Amend #: Plat File#: ZBA Case#:
Zoning Di stri ct: RL -LOW DENSITY RES IDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of Stories:
Com sq ft:
0 cc Group:
------
Filing#: __ _ Lot #: Block#: ___ _
Ind sq ft: Basemen t sq ft: -----
Const Type: -----------------------
Fire Sprklr: Stock plan #: Stock plan options: ------
Contractor: HWG SERVICES, LLC
36763 Brian Ave.
Windsor, CO 80550
License #: 02-225 Supervisor Cert#: 4924-02
Phone: 970-231-8632
Subcontractor( s): License Number:
Work Description: Tear off existing shingles and re-roof 15 sq uares with Owens Corning Class 4 impact resistant asphalt shingles.
Provide req uired attic ventilation. Install required ice and water shield. Install shingles per manufacture r's high-wind specifications. 1
Story. Payroll em ployees to d o the work.
Co nstruction waste management plans are re qu i red to comp lete roofing permits. Constru ction waste management plans can be
submitted electronically or ema i led to environmentalcompliance@fcgov.com.
SCHEDULE INSPECTIONS: **via Text Message: 888-406-6394 **By Phone: 970-221-6769
Online Portal : fcgov.com/CitizenAccess
I Possible In s pections Required : 41 O 409
TOTAL FEES PAID AS OF 9/9/2021: 241.94
***Fee Detail Displayed on Next Page
As a condition for th e issuance of a permit, I hereby declare that I am the owner or owner's agent, authorized to perform the proposed work on the
property described herein. I agree to comply with all the requirements contained herein , and City ord inances, and State laws associated with such
work. I understand th at su ch permit may be revoked in th e event that issuance was based on incorrect information . This permit shall become null and
void if the work a uthorized 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 July 2021
City of
k tColli~
Site Address: 2631 SHADOW CT
Job Valuation: $6,750 .00 Category: Residential
Transactions:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.6760 970 .224 .6134 -fax
Building Permit#:
Issued Full :
82107215
09/09/2021
Permit Type: Residential Roofing
Method
Credit Card
Ref Number
6699
Date Paid
09/09/2021
Amount Paid
$241.94
Comments
Total Paid to Date: =$2=-4..:....;1c.;.;.9"-4'----
Description
City Sales/Use Tax
County Sales/Use Tax
Permit Flat Fee -$85
TOTAL FEES:
Fee Amount
$129.94
$27.00
$85.00
$241.94
Amount Paid
$129.94
$27.00
$85.00
$241.94
Date Paid
09/09/2021
09/09/2021
09/09/2021
TOTAL BALANCE DUE AS OF 9/9/2021 :
Amount Due
$0.00
$0.00
$0.00
$0.00
$0.00
Fee amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised July 2021
City of
k!Soll~s Date __,_.,__,_,__,.'---'---·----
Apptic ,ition # .Is '2 JO 1Z l'.:;L ROOFING PERMIT APPLICATION
281 N College Ave.
Fort Collins, CO 80524
9 70-416-2 7 40
buildingse1vices@fcgovcon1
ALL information is REQUIRED . Incomplete applications will not be accepted.
Job Site Add ress 2631 Shadow Ct.
Prope rt y Owner Information
Nam e Cindy P illmo re
Address 2631 Shadow Ct.
City/State/Zip Ft. Collins, Co. 80524
Phone Nu mber 303-443-2230
City/State/Zip Ft. Collins Co . 80524
C.-Single Family Detached l Townhome (attached) :~ Du p lex
·1
\ Apartment/Condo (' Gara?e/Othe_r ___ j
(' Bank .~ Bar (' Church ( Hotel/Motel \ Medical Office Office ( Retail _('. Restaurant J
COMMERCIAL ST RUCTURES
Are you tearin g off existing roofi ng materi als to the decking? R Yes ( No
If keeping existing layers, how many layers are there?____ What ki nd of material are they?
Wha t new roofing mat e ri a ls are you using? _;_/4~~il!'k,.,,_s,_/.1..t _________________________ _
Is t here exi sting i nsul ation? (' Yes (:}) N o W ill any Insu lation be removed/replaced? (' Yes c\ No
t....:...-=$/1=(7='5o=~ 0==-=0 -==-=-==3
Materials
Manufacturer Owens/Corning asphalt # of Squares _1_5 ______ # of Stories _1 ______ _
FLAT ROOF (less t han 2: 12 pitch) ( Yes C.-I No
r
(' Roof Repair 49% of roof a rea max. C lass 4 sh ingle is not req uired .
r Roof Repair 50% or more of roof area. Class 4 shingle is required. I. Note locat!on(s) o f areas
to be re paired in space
provided below.
l. ---·-. ----
Additiona l Information
(if app licable)
Contractor Information
Name HWG Services
Address 502 Pitkin St
Phone Nu mber 970-231 -8632
License D2-22 5
C ity/State/Zip Ft. Collins Co. 80524
Email _a_d_a_m_@_h_w_g_c_o_lo_r_a_d_o_.c_o_m _________ _
Certificate _4_9_2_4_-D_2 ________________ _
Lice nse/Certificate Ho lder (e Payroll Employees ( Exempt Roofer (1099): EX-
(' Homeowner Company Name: