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Home My WebLink About425 Baylor St - Permits/Reroof - 07/12/2010Frt Collins Site Address 425 BAYLOR ST Job Valuation $2,10000 Category Residential Owner SCHURMAN LIVING TRUST Community Development & Neighborhood Services 281 N College Ave Fort Collin CO 80522 97o 221 6760 97o 224 6134 fax Building Permit # B1004392 Issued Full 07/12/2010 Permit Type Residential Roofing 425 BAYLOR ST FORT COLLINS CO 80525 1734 Phone 484 1590 Zoning Frontsetback 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 Filing # Lot # Block # Ind sq ft _ Const Type _ _ Stock plan options Contractor DIAMOND ROOFING> n License # R 1881 Supervisor cart # 4517 HILBURN CT i FORT COLLINS\, 80526 �/ Phone 970 204 1986 Subcontractors) MR Phone ® License Number gill x x Work Description TEAF SHINGLES 21 SQUARES Com sq It Occ Group Stock plan # Basement sq ft G AND REROOF WITH 30 YR ASPHALT TION WORK TO BE DONE BY DIAMOND " SCHEDULE INSPECTIONS '*' By Phone 221-6769 ** By Web http //aaweb fcgov com/CitizenAccess *' Ins ections RF TOTAL FEES PAID AS OF 07/12/10 78 40 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 in perform the proposed work on the property described herein I agree to comply with all the requirements contained herein and Oly 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 d the work authorized by such permit is not commenced suspended abandoned or not inspected within 180 days from the date of such permit. Signature Print Name PL Date Form Revised May 2�01 $78 40 $0 00 $0 00 $0 00 �t Collins Site Address 425 BAYLOR ST Job Valuation $2,10000 Category Residential Transactions Method Check Number Date Paid Trust Account 07/12/2010 Receipt issued 07/12/2010 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 $78 40 $78 40 Community Development & Neighborhood Services 281 N College Ave Fort Collins CO 80522 970 2216760 97o 224 6134 fax Budding Permit # B1004392 Issued Full 07/12/2010 Permit Type Residential Roofing Comments DIAMOND ROOFING TRUST Fee Amount Amount Paid Date Paid Amount Due $38 50 $38 50 07/12/2010 $0 00 $3150 $3150 07/12/2010 $8 40 $8 40 07/12/2010 TOTAL FEES �40 LC(TOL TAL B F 1