HomeMy WebLinkAbout5327 Golden Willow Dr - Permits/Reroof - 08/04/2011City Of Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
Fort Collins 970.221.676o 970.224.6134 -fax
Building Permit #: B1104391
Issued Full: 08/04/2011
Site Address: 5327 GOLDEN WILLOW DR
Job Valuation: $3,500.00 Category: Residential
Owner: CHORAK, STEVEN P/DANN W
5327 GOLDEN WILLOW DR
FORT COLLINS, CO 80528
Zoning: Front setback: Rear setback:
Permit Type: Residential Roofing
Phone: 226-2277
Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan #:
Contractor: MAJESTIC ROOFING;`, J
6200 N GARFIELD)
LOVELAND, CO; `80538
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
License #: R-1510
Phone: 970-667-8500
Subcontractor(s)-=
Roofing: MAJESTIC ROOFING] ,
,t
Work Description: TEAR\OFF TO DECK AND;REPLA(
VENTILATION.
Basement sq ft:
Supervisor cert #:
r
Phone
License Number
970-667 8500
J
R-110 ,
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ASPHALT SHINGLES. PROFIDE REQUI
TOTAL FEES PAID AS OF 08/04/11: $125.88 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.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
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Signature: Print Name: y l Date:
Form Revised Oct 2010
City of
F6rt Collins
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Site Address: 5327 GOLDEN WILLOW DR
Job Valuation: $3,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 08/04/2011 $125.88
Receipt issued: 08/04/2011 Total Paid to Date: $125.88
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $44.50
Subs
City Sales/Use Tax 251.122030 $67.38
County Sales/Use Tax 100.217030 $14.00
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970:221.676o 970.224.6134 -fax
Building Permit #: B1104391
Issued Full: 08/04/2011
Permit Type: Residential Roofing
Comments
MAJESTIC ROOFING TRUST ACCT
Amount Paid Date Paid Amount Due
$44.50 08/04/2011 $0.00
$67.38 08/04/2011 $0.00
$14.00 08/04/2011 $0.00
TOTALTEES:
$125.88
$125.88
$0.00
,TOTAL BALANCE
DUE A!�OF08/04/2011:
0.00
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