HomeMy WebLinkAbout1416 W Lake St - Permits/Reroof - 09/10/2007Neighborhood & Building gervices
281 N. College Ave. Fort Collins, CO 80521
Phone:970-221-6760 Fax:970-224-6134
BUILDING PERMIT: B0706099 issued Full 09/10/2007
i'it�'rrt I ttrt t"nllinti Job site address: 1416 W LAKEST
Building Valuation: $913.00
Category: Residential
Owner: SEITZ, EDWARD E
Permit type: Residential Roofing
1617 ADRIEL WAY Phone: 482-4786
FORT COLLINS, CO 80524
Rear setback: Right setback: Left setback:
Zoning: Front setback: ZBA Case #: Minor Amend #:
Zoning district: RL Plat Fife #:
Legal' SubdivisionlPUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Stock plan #:
Contractor: FM ROOFING
1623 S. LEMAY AVE
FORT COLLINS, CO 80525
.` Subcontractor(s)
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
Supervisor cert#:
License #: R-400
Phone: 970-221-1388
Phone
License Number
33 TAB SHINGLES. PROVIDE ATTIC OVE 2 LAYERS OVENTILATION AS REQUIRED. PERMIT BASED ON MATERIALS.F EXISTING SHINGLES AND REROOF 20 3/4 SQUARES WITH
25
******a***To schedule inspections call 970-221-6769***********
Required inspections: RF
TOTAL FEES PAID AS OF 09/10/07 J§M Payment method: Check 7696
Asa condition for the fssuanoe of a permit I hereby declare that I am the owneror owners agent, aunmrized to perform the proposed work on the property described herein.
I agree to oompy with all the requirernents contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revolted in the event that issuance was based on incorrect infornabon. This permit shall become null and void if the work authorized by such permit is not oomrnenced,
suspended, abandoned or riot inspected within 180 days from the data of such pertrvt
Signature:-ry�Print Name�Q
Fee Items Co nued on Next Page
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Neighborhood & Building ervices
281 N. College Ave. Fort Collins, CO 80521
4�,. Phone:970-221-6760 Fax:970-224-6134
` BUILDING PERMIT: B0706099
Job site address: 1416 W LAKE ST
C its ��} t c,rt ('c�llin4 Building Valuation: $913.00
Category: Residential
Transactions:
Check CK # 7696 09/10/2007
Receipt issued: 09/10/2007 Total Paid to Date:
Description Account Code
Building Permit Fee Without 101.322101
S b
Issued Full
Permit type: Residential Roofing
Amount Paid Comments
$69.70
$69.70
Fee Amount Amount Paid Date Paid
$35.00 $35.00 09/10/2007
U.
City Sales/Use Tax 408.122022 $$7.37.31 $
County Sales/Use Tax 101.231719 $7.37.31
TOTAL FEES:
$69.70 $69.70
TOT
it only. Fees subject to change without noti
111 ll (-7w yolk"/
l
09/10/2007
09110/2007
09/10/2007
Amount Due
$0.00
$0.00
$0.00
$0.00