HomeMy WebLinkAbout4300 Black Hawk Cir - Permits/Reroof - 08/22/2011F6rt"Coilins
Site Address: 4300 BLACK HAWK CIR
Job Valuation: $2,300.00 Category: Residential
Owner: PUCKETT, ELVA
4300 BLACK HAWK CIR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Phone: 225-6908
Building Permit*. B1105362
Issued Full: 08/M011
Permit Type: Residential Roofing
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plan. File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories:. Occ Group: Const Type:
Fire Sprklr Stock plan #: Stock plan options:
Contractor: JASPER CONTRACTORS INC Z
License #: R-2179 Supervisor cart #:
5075 VASQUEZ,BLVD r L717�
DENVER, CO 80216 I ',1 I'll! .!� f+ Phone: 303-297-0448
Subcontractor(s1�==:`
Roofing: JASPER CO RA
Work Description:
License -Number
48 i -V,--R-2179
s
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CltizenAccess **
11inspections RF
TOTAL FEES PAID AS OF 08/22111: $91.98 Payment method: Credit Card
"Fee Detal/ Dispbyedan Next Pegs
As a omiffian for the inoe of a permit, I hereby declare that I am the omwor owner's agent, a i N , I Pd to perform the prgxsed work an the properly described herein.
I agree l o wmplywfth all the requiremen s cortaired herein, and City ordinaroes, and State haws assodded with such work I understand that such permit maybe
revoked in the event that issuarice was based on incorrect information. This permit shall become nu0 and void if the work auftwk ed by such permit Is no canmerwed,
suspended, abandoned or not inspected w6w 180 daysfrom ft data of such pens L
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: "' #\ FlIp FWnt Name: a,--d 3oWU Date. o Rat 1_)
Fain Revised Oct 2010
City of Community Development 8r Neighborhood Services
66 . Co 281 Nllege Ave Fort Collins, CO 8o522
rt Collins 970 221.6,60 970 224.6i34 -fax
Building Permit #: B1105362
Issued Full: 08/22/2011
Permlt Type: Residential Roofing
Site Address: 4300 BLACK HAWK CIR
Job Valuation: $2,300.00 Category: Residential
Transactions
Credit Card 08/22/201.1
Receipt Issued: 08/22/2011 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 100217030
Amount Paid
$91.98
$91.98
Comments
DANIEL BELSKY CC
Fee Amount Amount Paid Date Paid
$38.50 $38.50 08/222011
$44.28 $4428 08/22/2011
$9.20 $9.20 08/22/2011
TOTAL FEES: $91.98 $91.98
j L
f s � c
y
Amount Due
- _ $0.00
$0.00
$0.00
$0.00
DUE AS OF 081=011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
FWm Revised Oct 2010