HomeMy WebLinkAbout566 Dennison Ave - Permits/Reroof - 05/20/2009. City of
F6rt Collins
Site Address: 566 DENNISON AVE
Job Valuation: $300.00 Category: Residential
Owner: NYBORG, JENNIFER
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-o58o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0902804
Issued Full: 05/20/2009
Permit Type: Residential Roofing
566 DENNISON AVE
FORT COLLINS, CO 80526
Phone: 970-430-0003
Zoning: Front setback: Rear setback:
Right setback: _
Zoning district: RL Plat File #:
ZBA Case #:
Legal: Subdivision/PUD:
Filing #:
Code: Res sq ft: Com sq ft:
Ind sq ft:
# of stories: Occ Group:
Const Type:
Stock plan #:
Stock plan options:
Contractor: ATLAS ROOFING & CONST
License #: C1-154
PO BOX 273122
FORT COLLINS, CO 80527
Phone: 970-484-7777
Subcontractor(s)
Phone
Roofing: ATLAS ROOFING & CONST
970-484-7777
Left setback:
Minor Amend #:
Lot #: Block #:
Basement sq ft:
Supervisor cert#:
License Number
C1-154
Work Description: REMOVE AND REPLACE 3 SQUARES OF ASPHALT SHINGLES ON THE WEST SLOPE OF THE
FRONT PORCH ONLY. PROVIDE REQUIRED ATTIC VENTIALTION.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: RF
TOTAL FEES PAID AS OF 05/20/09 $20.70 Payment method: Trust Account
*` Fee Detail 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 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.
Signature: � T� _Print Name: �� { Date: �'�'
Form Revised Oct 2tl 8 -�
City of
F6rt Collins
/'O� -
Site Address: 566 DENNISON AVE
Job Valuation: $300.00 Category: Residential
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0902804
Issued Full: 05/20/2009
Permit Type: Residential Roofing
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 05/20/2009
$20.70
ATLAS ROOFING &
CONST
Receipt issued: 05/20/2009 Total Paid to Date:
$20.70
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$15.00
$15.00
05/20/2009
$0.00
Subs
City Sales/Use Tax 251.122030
$4.50
$4.50
05/20/2009
$0.00
County Sales/Use Tax 100,217030
$1.20
$1.20
05/20/2009
$0.00
TOTAL FEES: $20.70 $20.70 $0.00
TOTAL BALANCE DUE AS OF 05/20/2009: IQ.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.