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6237 Southridge Greens Blvd - Permits/Reroof - 09/20/2011
Fo��,,�tfls Site Address: 6237 SOUTHRIDGE GREENS BLVD Job Valuation: $4,100.00 Category: Residential Owner: LAH TRUST A 6237 SOUTHRIDGE GREENS BLVD FORT COLLINS, CO 80525 281 N. College Ave Fort Collins, CO 8o522 970.221.676o 970.224.6134 -fax Building PerTnit #: B1107313 Issued Full: 09/20/2011 Permit Type: Residential Roofing Phone: 970-204-0593 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: # of stories: Occ Group: Fire Sprklr: Stock plan #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: Contractor: ADVANCED ROOFING TECH 4496 BENTS DR' UNITC:� j WINDSOR, CO. ,80550 + J License #: R-1161 Supervisor cert#: Phone: 970-663-0203 Subcontractor(si __,� ,, rnone Roofing:ADVANCED ROOFING TECH ;— ;✓ 97063=0203 n: REMOVE AND -DISPOSE ** SCHEDULE INSPECTIONS *** By P Llnspections: RF TOTAL FEES PAID AS OF 09/20111: $145.83 Fee Detail Displayed on Next Page F7 License Number R-1161 I I � REROOF WITH 41 SO OF OWENS CORNING Payment method, Trust Account As a condition for the issuance of a permit, l hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein. I agree to comply with all the requirements contained herein, and City 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 irrfommtion. This permit shall become null and void N the work authored by such permit is not commenced, suspended, abandoned or not inspected within 180 days from the date of such permit. Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. ` SHPT za11 SAP 2 0 /�A Signaf ire: Print Name: W n Date: Form Revised Oct 2010 Forte, tCollins Site Address: 6237 SOUTHRIDGE GREENS BLVD Job Valuation: 100.00 Category: Residential Transactions Trust Account 09/20/2011 Receipt issued: 09/20/2011 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 100.217030 Community Development Sr Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970,224.0134 -fax Building Permit #: B1107313 Issued Full: 09/20/2011 Permit Type: Residential Roofing Amount Paid Comments $145.83 ADVANCED ROOF TECH TRUST ACCT $145.83 Fee Amount Amount Paid Date Paid Amount Due $50.50 $50.50 09/20/2011 $0.00 $78.93 $78.93 09/20/2011 $0.00 $16.40 $16.40 09/20/2011 $0.00 TOTAL -FEES: $146.83 $146.83 $0.00 JOTAL BALANCE DUE AS-©F 09/2012011: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.