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HomeMy WebLinkAbout4224 Fall River Dr - Permits/Reroof - 05/25/2010�t Colons Site Address 4224 FALL RIVER DR Job Valuation $2,000 00 Category Residential Owner KELLEHER RICK L Community Development & Neighborhood Services 28i N College Ave Fort Collins CO 80522 970 221 6760 9702246134 fax Building Permit # B1003166 Issued Full 05/25/2010 Permit Type Residential Rooting 4224 FALL RIVER DR FORT COLLINS CO 80526-4135 Phone 980 7218 Zoning Front setback Rear setback Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district RL LOW DENSITY RESIDENTIAL DISTRICT Legal Subdivision/PUD Code Res sq ft # of stones Fire Sprklr Com sq ft Occ Group Stock plan # Filing # Lot # Block # Ind sq ft _ Const Type _ Stock plan options Basement sq ft Contractor IN EX DESIGNS License # R 2109 Supervisor cert# 620 MILL CT #207 LAKEWOOD CO 80215 \ Phone 303 753 0505 ra Subcontractor(i PFione License Number u � I Work Description TEARING OFF TO DECK AND REPLNG 20 S ACIQS 30 YEAR DEMINSIONAL SHINGLES PROVIDE REQ ATTIC VENTILATION_ NORTHLAND TO PROVIDE LABOR II " SCHEDULE INSPECTIONS ' By Phone 221-6769 ' By Web http //aaweb fcgov com/CitizenAccess" JI Inspections RF TOTAL FEES PAID AS OF 05/25/10 70 50 Payment method Trust Account Fee Detail Displayed on Next Page As a condrbon for the issuance of a pemut. I hereby declare that I am the awneror owners agent, authorized to perform the proposed work on the property desonbed 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 inconed inforrnabon This permit shall become null and void if Ore work authorized by such pemut is not commenced suspended abandoned or not ugxxted witim 180 days from the date of such pem t S/gnatu Print Name c C 4 Date �✓� 5 /a Form Revised May 2010 City of Fort Collins Site Address 4224 FALL RIVER DR Job Valuation $2,000 00 Category Residential ir------6.--- Method Check Number Date Paid Amount Paid Trust Account 05/25/2010 $70 50 Receipt issued 05/25/2010 Total Paid to Date $70 50 Fee Description Account Code Fee Amount Budding Permit Fee Without 1000 422010 $32 50 Subs City Sales/Use Tax 251 122030 $30 00 County Sales/Use Tax 100 217030 $8 00 TOTAL jFEES $70 50 \�-TOTAL B cc Community Development & Neighborhood Services 28i N College Ave Fort Collins C0 80522 970 221 6760 970 224 6134 fax Building Permit # B1003166 Issued Full 05/25/2010 Permit Type Residential Roofing Comments IN EX TRUST ACCT Amount Paid Date Paid Amount Due $32 50 05/25/2010 $0 00 $30 00 05/25/2010 $0 00 $8 00 05/25/2010 $0 00 $70 50 $0 00 Fee Amounts are valid for date of this document only Fees subject to change without notice Forth Revised Mav 2010