HomeMy WebLinkAbout1520 W Lake St - Permits/Reroof - 08/06/2012art Collins
Site Address: 1520 W LAKE ST
Job Valuation: $1,500.00 Category: Residential
Owner: MATTIE LYNN V/TONJA S
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1204742
Issued Full: 08/06/2012
Permit Type: Residential Roofing
4990 RAMBLEWOOD DR
COLORADO SPRINGS, CO 80920 Phone: 719-457-8823
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
L@gal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ,Group:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
Contractor: ROCKY MTN ROOF/GTR i License #: R-1783 Supervisor cert #:
458 S LINK LN �� r-, Fr-,
FORT COLLINS, CO 80524 r; �n �� Phone: 970-224-1200
L � L
Subcontractor s) 70, `" �` LI,r Phone Vff
License Number
Roofing: ROCKY MTN, ROOF/GTR 976:2241200 R-1783
Work Descriotion: TEAR•OFF'EXISTING SHINGLES
PROVIDE REQUIRED ATTIC VENTILATION: INSTALL;SI
VSTALL 15 SQUARES OF NEW
FACTURER'S HIGH -WIND SPE
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 •" By Web: http://amos.fcgov.com/CltizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: RF
TOTAL FEES PAID AS OF 08/06/12: $52.50 Payment method: Trust Account
Fee Detall 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 ordinanoes, 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: ' Print Name: V Date:
F--6-1c'z
Form Revised Oct 2010
art Collins
Site Address: 1520 W LAKE ST
Job Valuation: $1,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 08/06/2012 $52.50
Receipt issued: 08/06/2012 Total Paid to Date: $52.50
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.%
Building Permit #: B1204742
Issued Full: 08/06/2012
Permit Type: Residential Roofing
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $52.50 $52.50 08/06/2012 $0.00
Subs
TOTAL FEES:
$52.50 $52.50
$0.00
"__
u l t TOTAL BALANCE DUE AS OF 08/06/2012: 0.00
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