HomeMy WebLinkAbout121 Buckingham St - Permits/Reroof - 06/19/2013Frt Collins
Site Address: 121 BUCKINGHAM ST
Job Valuation: $3,480.00 Category: Residential
Owner: PORTER JEFFREY W
121 BUCKINGHAM ST
FORT COLLINS, CO 80524
Zoning: Front setback:
Minor Amend #:
Zoning district:
Legal: Subdivision/PUD:
Code: Res sq ft: _
# of stories: _
Fire Sprklr:
Rear setback:
ty Development & Neighborhood Services
281 N. CollegeAue Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1303022
Issued Full: 06/19/2013
Permit Type: Residential Roofing
Phone:unknown
Right setback: Left setback:
Plat File #: ZBA Case #:
DENSITY RESIDENTIAL DISTRICT
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft Basement sq ft
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: GARDNER CONSTRUCTION
PO BOX 1134
LAPORTE, CO 80535
Subcontractor(s�
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License #: D-576
Phone: 970-566-1770
Phone
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Supervisor cert#:
License Number
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Work Description: Tear offexistina shinales. deckino and -fascia and mstall-14.8 squares of new shingles. deckiha-and-reolace
fascia. Provide required attic ventilation. Install shy ,per manufacturer's high -wind specifications. Asbestos assessment- ec'd.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: RF
TOTAL FEES PAID AS OF 06119/13: $164.18 Payment method: Check 1619
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed workon 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: rint Name: O C t_ to �o�. ate: / /
F rm Revised Oct2010
�F�o`r��t of
Site Address: 121 BUCKINGHAM ST
Job Valuation: $3,480.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK# 1619 06/19/2013
Receipt issued: 06/19/2013 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
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1303022
Issued Full: 06/19/2013
Permit Type: Residential Roofing
Amount Paid Comments
$164.18 Paid by Gardner CH#1619
$164.18
Fee Amount Amount Paid Date Paid Amount Due
$86.75 $86.75 06/19/2013 $0.00
$66.99 $66.99 06/19/2013
$10.44 $10.44 06/19/2013
$164.18 $164.18
$0.00
$0.00
$0.00
TOTAL BALANCE DUE ASOF 0 6I 19/2013: 0.00 I
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010