HomeMy WebLinkAbout704 Mathews St - Permits/Reroof - 09/16/2009Ft of
Site Address 704 MATHEWS ST
Job Valuation $2,200 00 Category Residential
Owner ANDERSON MARK A
704 MATHEWS ST
FORT COLLINS CO 80524 3313
Zoning Front setback Rear setback
Zoning district NCM Plat File #
Legal Subdivision/PUD
Code Res sq ft
# of stories
Stock plan #
Contractor
Neighborhood & Building Services
281 N College Ave Fort Collins CO 80522 0580
Phone 970-221 676o Fax 970 224-6134
BUILDING PERMIT # B0905746
Issued Full 09/16/2009
Permit Type Residential Roofing
Phone 970 484 1827
Right setback Left setback
ZBA Case # Minor Amend #
Filing # Lot # Block #
Com sq ft Ind sq ft
Occ Group Const Type _
Stock plan options
License #
Phone
Basement sq ft
Supervisor cart #
Subcontractor(s)—
— .,Phone
License Number
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Work Description REMOVE EXISTING ROOFING MATERIALS TO THE DECKING AND REROOF WITH 22
SQUARES OF COMP SHINGLES PROVIDE REQUIRED ATTIC VENTILATION
HOMEOWNER AFFDVT ON FILE
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**SCHEDULE INSPECTIONS *** By Phone 221-6769 *** By Web http //aaweb fcgov com/CltizenAccess**
Inspecttons RF
TOTAL FEES PAID AS OF 09/16/09 80 30 Payment method Check 2150
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 properly described herein
I agree to comply with all the requirements contained herein and City ordinances and State taws asscoated with such work I understand that such permit may be
revoked in the event that issuance was based on incorrect informabon 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 ���r. Print Name koul-L ,A /—tJ-ie-o Date 16
Form Revised Oct 2008
City of
fit Collins
Site Address 704 MATHEWS ST
Job Valuation $2,200 00 Category Residential
Transactions
Method Check Number Date Paid
Check CK # 2150 09/16/2009
Receipt issued 09/16/2009 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
Amount Paid
$80 30
$80 30
Neighbot hood 8r Building Services
281 N College Ave Fort Collins CO 80522 058o
Phone 970 221 676o Fax 970 224 6134
BUILDING PERMIT # B0905746
Issued Full 09/16/2009
Permit Type Residential Roofing
Comments
ANDERSON MARK A
Fee Amount Amount Paid Date Paid
$38 50 $38 50 09/16/2009
F—� L � J
$33 00 $33 00 09/16/2009
$8 80 $8 80 09/16/2009
$80 30 $80 30
Amount Due
$0 00
$0 00
$0 00
$0 00
TOTAL -BALANCE DUE AS OF 09/16/2009 0 00
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Fee Amounts are valid for date of this document only Fees subject to change without notice