HomeMy WebLinkAbout812 Biscay Ln - Permits/Reroof - 09/15/2011of
F6rt/„City.5
Site Address: 812 BISCAY LN
Job Valuation: $4,900.00 Category: Residential
Owner: SANDBERG, GENA
ity Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.6760 970.224.6134 -fax
Building Permit #: B1106931
Issued Full: 09/15/2011 -
Permit Type: Residential Roofing
812 BISCAY LN
FORT COLLINS, CO 80525 Phone: 970-226-0819
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat 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: ROOF CHECK,.-INCJ r License #: R-1377 Supervisor cert#:
1610 SKYWAY jDR �� l _
LONGMONT CO 80504 ` i Phone: 303-678-7828
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TOTAL FEES PAID AS OF 09/15111: 1164.43 Payment method: Check 31892
«Fee uerauDisplayedon AAW Page
As a amdMm fcrthe issr;iwm cf a pwmtL I hereby declarethat I am the owrreror owner's agent, aulhormad to perform the proposed work on the property desalbad herein.
I agree to canptywith alithe reqLbeffaftcont3ined herein, and try ordinances, and State laws with such work I u Klmstm that such permit may be
revoked in the event that fanoe was based on h=mct ftnatlon. This,permk shall become null and void if the work autlraized by such pemrit is not oomnwx ed,
auepanded, abandoned or not inspected within 180 daysfrom the date of such pemtit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Print Name: jef5 91!51ee Date: 1 Z//
Form Revised Oct =0
City
F6rtlins
Site Address: 812 BISCAY LN
Job Valuation: 900.00 Category: Residential
Commun=CollegeAve
elopment & Neighborhood Services
Fort Collins, CO 80522
97o.221.676o 970-924.6134 -fax
Building Permit#: B1106931
Issued Full: 09/15/2011.
Permit Type: Residential Roofing
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK # 31892 09/15/2011 $164.43 PAID BY ROOF CHECK INC. CK#31892
Receipt Issued: 09/15/2011 Total Paid to Date: $164.43
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100217030
Fee Amount Amount Paid Date Paid
$50.50 $50.50 09/15/2011
$94.33 $94.33 09/15/2011
$19.60 $19.60 09/15/2011
TOTAL. FEES: $164.43 $164.43
Amount Due
$0.00
$0.00
$0.00
$0.00
-TOTAL BALANCE DUE AS -OF 09MM011: 0.00
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