HomeMy WebLinkAbout615 Jansen Dr - Permits/Reroof - 09/13/2011City. of
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Site Address: 615 JANSEN DR
Job Valuation: $2,350.00 Category: Residential
Owner: KUBALA, JEFFREY B/REBECCA J
615 JANSEN DR
FORT COLLINS, CO 80525
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO So522
970.221.676o 970.224.6134 -fax
Building Permit #: B1106669
Issued Full: 09/1312011
Permit Type: Residential Roofing
Phone: 970-204-1741
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File M ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: 61 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: STONE CREEK ROOFING & EXTERIORS License #: R-2214 Supervisor cert #:
1804 SKYWAY DR #B
LONGMONT, CO 80504 Phone: 303-772-5700
Subcontractor(s) i" Phone License Number
Roofing: STONE CREEK ROOFING & EXTE 303-772-5700- _ _ �-,R-2214,-
Work Description: TEAR OFF EXISTING SHINGLES TO NECKING AND -INSTALL 23.5 SQUARES OF NEW SHINGLi ;,
PROVIDE REQUIRED ATTIC VENTILATION. INSTALL SHINGLES PER MANUFACTURER'S HIGH -WIND SPECIFICATIONS._`-._
TOTAL FEES PAID AS OF 09/13111: 993.14 Payment method: Check 1429
"Fee Detail Dls %*W our AkW Pale
Asa condifian lbr the issuance cf a pertrift, I hereby declare that I am the owneror owner's agent, auftrbmd to parr., the proposed workon the property described herein.
I agree to aanply with all the reqAvrrients confab herein, and City ordinances, and State laws assodated with sah work I understand that such permit may be
revoked in the event Brat issianroewas based on incurred hnbirgft . This permit stall became null and vad If the workautlarmed by such perf is not cornrrreraed,
suspended, abandoned or rat within 180 daysfrom the date of such perrrdt.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Slgnature: j���_ Print Name: (,t Date: °L 1 I�V((
rrrn Revised Oct 2010
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Site Address: 615 JANSEN DR
Job Valuation: $2,350.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 97o.224.6i84 -fax
Building Permit #: B1106669
Issued Full: 09/13/2011
Permit Type: Residential Roofing
Check CK # 1429 09/13/2011
$93.14
PAID BY STONE CREEK ROOFING & EXTERIORS
CK#1429
Receipt Issued: 09/13/2011 Total Paid to Date:
$93.14
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid Amount Due
Building Permit Fee Without 1000.422010
$38.50
$38.50
09/13/2011 $0.00
Subs
City Sales/Use Tax 251.122030
$45.24
$45.24
09/132011 $0.00
County Sales/Use Tax 100.217030
$9.40
$9.40
09/132011 $0.00
$93.14 $93.14
$0.00
TOTAL „BALANCE DUE AS OF 09113011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010