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Home My WebLink About4501 Boardwalk Dr - Permits/Reroof - 07/01/2010Ft Collins Site Address 4501 BOARDWALK DR, N Job Valuation $6,300 00 Category Residential Owner JONES GARY A/DEBRA K 6300 COPPER CT BELLVUE CO 80512 Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 8o522 970 221 676o 970 224 6134 fax Phone 690 8380 Budding Permit # B1004166 Issued Full 07/01/2010 Permit Type Residential Roofing Zoning Frontsetback Rear setback Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district MMN MEDIUM DENSITY MIXED USE NEIGHBORHOOD DISTRICT Legal Subdivision/PUD Code Res sq ft # of stories Fire Sprklr Filing # Lot # Block # Ind sq ft _ Const Type _ Stock plan options Contractor MASTERS ROOFING ❑ License # R 1665 PO 127 On JOHNSWN TOCO 80534 ((�)/} Phone 970 690 8380 Coco sq ft Occ Group Stock plan # Basement sq it Supervisor cert # Subcontractorfs)� Phone ® License Number ro r z Work Description TEAR OFF TO DECKING AND R�EROOFWITH 30 Q OF 3 TAB 30 YR COMP SHINGLES PROVIDE REQUIRED ATTIC VE_NTILATIOOFING BY MASTER S ROOFING SCHEDULE INSPECTIONS '*' By Phone 221-6769 '*' By Web http //aaweb fcgov com/CitizenAccess" Inspections RF TOTAL FEES PAID AS OF 07/01/10 $182 20 Payment method Check 4009 Fee Detail Displayed on Next Page As a cordibon for Ore swance of a penrK I hereby dedare that I am the amerce owner's agent, authored to perform the proposed workon the property described herein I agree to comply wdh all the requuemertis contemned heaem and Cq ordufaraes and State Laws assoaated wdh such work I urdersfard that such permit may be revoked in the event that issuance was based on incorrect information This permit dial become null and void d the work and mzad by such pemut is not commenced suspended abandoned or not inspected wdtmh 180 days from the date of such perrrnt Signature Print Name% ,�, np,t Date Form Revised PW2010 n Frt Collins Site Address 4501 BOARDWALK DR, N Job Valuation $6,300 00 Category Residential Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 221 676o 970 224 6134 fax Building Permit # B1004166 Issued Full 07/01/2010 Permit Type Residential Roofing Transactions Method Check Number Date Paid Amount Paid Comments Check CK # 4009 07/01/2010 $182 20 MASTERS CK# 4009 Receipt issued 07/01/2010 Total Paid to Date $182 20 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000 422010 $62 50 $62 50 07/01/2010 $0 00 Subs City Sales/Use Tax 251 122030 $94 50 $94 50 07/01/2010 $0 00 County Sales/Use Tax 100 217030 $25 20 $25 20 07/01/2010 $0 00 TOTAL FEES �$1, 2 20 $182 20 $0 00 C 0 Y, �TOI BALANCE DUE AS 10F 07/01/2010 0 00 y 1 r