HomeMy WebLinkAbout913 Grouse Cir - Permits/Reroof - 03/13/2007itdxGii26
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80521
'+ * Phone:970-221-6760 Fax:970-224-6134
"' BUILDING PERMIT: B0701396 Issued Full 03/13/2007
ci!�of Fort Collins Job site address: 913 GROUSE CIR
Building Valuation: $3,500.00
Category: Residential Permit type: Residential Roofing
Owner: WILLIAMS, DALLAS L
913 GROUSE CR
FORT COLLINS, CO 80524 Phone: 419-1161
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: RL Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PUD: Filing #: REPLAT Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: ADVANCED ROOFING TECH License #: R-1161 Supervisor cert#:
4496 BENTS DRIVE UNIT C
�y WINDSOR, CO 80550 Phone: 970-663-0203
Subcontractor(s) Phone License Number
REMOVE EXISITING 1 LAYER OF ASPHALT SHINGLES AND REROOF WITH 35 SQUARES OF
VGLES
**********To schedule inspections call 970-221-6769***********
Required inspections: RF
TOTAL FEES PAID AS OF 03/13/07 $111.00 Payment method: Trust Account
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 heroin, and City ordinances, and State laws associated with such work. I understand that such permit maybe
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.
Signature:
Fee Items Continued on Next Page
FTCO_BLDG20500449
Print Name:
Date:
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0701396 Issued Full
Job site address: 913 GROUSE CIR
City*nt t-ort Collins
Building Valuation: $3,500.00
Category: Residential Permit type: Residential Roofing
Transactions:
Method Check Number Date Paid Amount Paid Comments
Trust Account 03/13/2007 $111.00 ADVANCED ROOFING TRUST
Receipt issued: 03/13/2007 Total Paid to Date: $111.00
Description Account Code Fee Amount Amount Paid Date Paid
Building Permit Fee Without 101.322101 $44.50 $44.50 03/13/2007
Subs
City Sales/Use Tax 408.122022 $52.50 $52.50 03/13/2007
County Sales/Use Tax 101.231719 $14.00 $14.00 03/13/2007
TOTAL FEES: $111.00 $111.00
TOT,
t only- Fees subject to chan a without noti
T CIy
03/13/2007
Amount Due
$0.00
$0.00
$0.00
$0.00