HomeMy WebLinkAbout2906 Sombrero Ln - Permits/Reroof - 12/11/2009City of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
F6rt Coltins 970.221.676 0 970.224.6i 34 -fax
BUILDING PERMIT #: B0907832
Issued Full: 12/11/2009
Permit Type: Residential Roofing
Site Address: 2906 SOMBRERO LN
Job Valuation: $5,000.00 Category: Residential
Owner: BANK OF NEW YORK MELLON FKA BANK OF
PO BOX 9000
GETZVILLE, NY 14068-9000 Phone: 392-0373
Zoning: Front setback: Rear setback: Right setback: Left setback:
Zoning district: RL Plat File #: ZBA Case #: Minor Amend #:
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: INDEPENDENT ROOFING, INC License #: R-294 Supervisor cert #:
405 22ND STREET
GREELEY, CO 80631 Phone: 970-482-5784
Subcontractor(s)-- i ----Phone -; i- i License Number
Roofing: INDEPENDENT ROOFING, INCI 970-482-5784 R-294
i L
fj
Work Description: TEAR OFF TO DECK AND REROOF WITH 21 SQ-OF OWENS CORNING 30 YR'SHINGLES.
...........
PROVIDE REQUIRED ATTIC VENTIALTION:.RO.OFING BY INDPENDENT ROOFING EMPLOYEES.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: RF
TOTAL FEES PAID AS OF 12/11/09 $50.50 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: c Print Name / Date:
�a - �Z-9
Form Revised ct 2008
City of
F6rt Collins
Site Address: 2906 SOMBRERO LN
Job Valuation: $5,000.00 Category: Residential
T............♦*.-- .
Method Check Number Date Paid
Trust Account 12/11/2009
Receipt issued: 12/11/2009 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0907832
Issued Full: 12/11/2009
Permit Type: Residential Roofing
Amount Paid Comments
$50.50 INDEPENDENT ROOF TRUST
$50.50
Fee Amount Amount Paid Date Paid
$50.50 $50.50 12/11/2009
$50.50 $50.50
Amount Due
$0.00
$0.00
TOTAL BALANCE DUE AS OF 12/11/2009: 12.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.