HomeMy WebLinkAbout2039 Churchill Ct - Permits/Reroof - 12/18/2009of
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Site Address: 2039 CHURCHILL CT
Job Valuation: $1,900.00 Category: Residential
Owner: GENSCHORECK, KATHLEEN M & TODD
4512 CLIFFSIDE CT
FORT COLLINS, CO 80526
Zoning: Front setback: Rear setback:
Zoning district: RL Plat File #:
Legal: Subdivision/PUD:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0908026
Issued Full: 12/18/2009
Permit Type: Residential Roofing
Phone: 206-1879
Right setback: Left setback:
ZBA Case #: Minor Amend #:
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: FM ROOFING License #: R-400 Supervisor cert#:
1629 S. LEMAY,..AVE
cnDT rni i r�rc rrn nr rzoG, Phone: 970-221-1388
Work Description: TAR,OFF,EXISTING ROOFING A
REQUIRED ATTIC VENTILATION."'ROOFING:-BY GOR
m
Q OF LAMINATE
License Number
ROVIDE
11 ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess** 11
Inspections: RF
TOTAL FEES PAID AS OF 12/18/09
'* Fee Detail Displayed on Next Page
$67.10 Payment method: Check 8902
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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: 6�� Print Name: ,,V U_ f x n jK0 ��� Date: 14 — I d' —0 /
Form Revised Oct 2008
Site Address: 2039 CHURCHILL CT
Job Valuation: $1,900.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK # 8902 12/18/2009
Receipt issued: 12/18/2009 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
Amount Paid
$67.10
$67.10
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
BUILDING PERMIT #: B0908026
Issued Full: 12/18/2009
Permit Type: Residential Roofing
Comments
FM ROOFING
Fee Amount Amount Paid Date Paid
$31.00 $31.00 12/18/2009
$28.50 $28.50 12/18/2009
$7.60 $7.60 12/18/2009
$67.10
Amount Due
$0.00
$0.00
$0.00
$0.00