HomeMy WebLinkAbout4037 Moss Creek Dr - Permits/Reroof - 08/24/2009Site Address: 4037 MOSS CREEK DR
Job Valuation: $3,200.00 Category: Residential
Owner: KEIGAN, GARY L/REBECCA S
4037 MOSS CREEK DR
FORT COLLINS, CO 80526-3165
Zoning: Front setback: Rear setback:
Zoning district: RL Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor:
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0905116
Issued Full: 08/24/2009
Permit Type: Residential Roofing
Phone:222-9203
Right setback: Left setback:
ZBA Case #: Minor Amend #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #:
Phone:
Basement sq ft:
Supervisor cert#:
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: RF
TOTAL FEES PAID AS OF 08/24/09 $105.30 Payment method: Check 6822
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated 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.
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Signature:4�1
� Print Name: �{. N kL01 CZ Date:
Form Revise ,'
City of
F6rt Collins
Site Address: 4037 MOSS CREEK DR
Job Valuation: $3,200.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK # 6822 08/24/2009
Receipt issued: 08/24/2009 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Amount Paid
$105.30
$105.30
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:97o-22I-676o Fax:970-224-6134
BUILDING PERMIT #: B0905116
Issued Full: 08/24/2009
Permit Type: Residential Roofing
Comments
KEIGAN CK# 6822
Fee Amount Amount Paid Date Paid Amount Due
$44.50 $44.50 08/24/2009 $0.00
$48.00 $48.00 08/24/2009
$12.80 $12.80 08/24/2009
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.