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Home My WebLink About411 S Impala Dr - Permits/Reroof - 10/23/2012art Collins Site Address: 411 S IMPALA DR Job Valuation: $1,400.00 Category: Residential Owner: HIXON MILDRED F Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 8o522 97o.221.676o 970-224.6134 -fax Building Permit #: B1206348 Issued Full: 10/23/2012 Permit Type: Residential Roofing 411 S IMPALA DR FORT COLLINS, CO 80521 Phone: 970-482-7921 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend M Plat File #: ZBA Case M Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: Com sq ft: # of stories: Occ, Group: Fire Sprklr: Stock plan #: Filing #: Lot #: Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: Contractor: BELMAREZ ROOFING, INC. 2212 VERMONT DR #J301,. FORT COLLINS„ CO 80538 _ '% �. Subcontractoc(s) ern= 1 Roofing: BELMAREZ ROOFING, INC v Work Descriotion: T EXISTING SHINGLES TO,DE K PROVIDE REQUIRED ATTIC VENTILATION-. INSTALL SHINGLES P License* R-1536 Supervisor cert#: Phone: 970-635-9399 License Number 9399 Q R-1536 ALL 14 SQUARES OF NEW SHINGLI :TURER'S HIGH -WIND SPECIFICATI SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Inspections: RF TOTAL FEES PAID AS OF 10/23/12: $49.75 Payment method: Check 3314 '* Fee Detail Displayed on Next Page Asa condition for the issuance of a permit I hereby declare that I am the ownero owners agent, authored 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 became null and void if the work authorized by such permit is not commenced, suspended, abandoned or riot inspected within 180 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: Print Name: ate: A� r Form Revised Oct 2010 arof t Collins Site Address: 411 S IMPALA DR Job Valuation: $1,400.00 Category: Residential Transactions Check CK # 3314 10/23/2012 $49.75 Receipt Issued: 10/23/2012 Total Paid to Date: $49.75 Fee Description Account Code Fee Amount Building Permit Fee Without 1000.422010 $49.75 Subs Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit #: B1206348 Issued Full: 10/23/2012 Permit Type: Residential Roofing Comments PAID BY BELMAREZ ROOFING CH#3314 Amount Paid Date Paid Amount Due $49.75 10/23/2012 $0.00 TOTAL FEES: $49.75 $49.75 $0.00 TOTAL BALANCE DUE AS OF 10/23/2012: 0.00 x.;t. ,q } �� f�: •.:4' tY}�S'��}S�. xfi a 't2x�4 x f