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HomeMy WebLinkAbout4409 Regency Dr - Permits/Reroof - 11/01/2010City of F6rt Collins Site Address: 4409 REGENCY DR Job Valuation: $2,800.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1006958 Issued Full: 11/01/2010 Permit Type: Residential Roofing Owner: BOX, MARK E/SUSAN J 4409 REGENCY DR FORT COLLINS, CO 80526-3423 Phone: 223-7712 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PLID: Code: Res sq ft: Com sq ft: # of stories: Occ Group: Fire Sprklr: Stock plan #: Contractor: NORTH. COLORADOROOFING 1315 ALPINE PL LOVELAND, CO .80538 Subcontractorr j � Work Descrintion: TEAROFF TO-DECKANDREP.L-Ai VENTILATION. DIAMOND ROOFING TO-PRC!VIDE`CABC Filing #: Lot #: Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: License #: R-2039 Supervisor cert #: Phone: 970-690-7564 Phone 28 SQS-WITH CLASS A ASPHALT SHINGELS. License Number FF, J� TTIC ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess ** inspections: RF TOTAL FEES PAID AS OF 11/01/10: $91.70 Payment method: Credit Card '* 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 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 information. This permit shall become null and void if the work authorized 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. i Signature: Print Name: 4 AL � Date: Form Revised Oct 2010 City of F6rt Collins /00� Site Address: 4409 REGENCY DR Job Valuation: $2,800.00 Category: Residential T �..........♦:--- Method Check Number Date Paid Credit Card 11/01/2010 Receipt issued: 11/01/2010 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 $91.70 $91.70 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1006958 Issued Full: 11/01/2010 Permit Type: Residential Roofing Comments RON HARLAN CC Fee Amount Amount Paid Date Paid $38.50 $38.50 11/01/2010 $42.00 $42.00 11/01/2010 $11.20 $11.20 11/01/2010 w .......a n.— $0.00 $0.00 $0.00 TOTAL FEES: $91.70 $91.70 $0.00 �3 TOTAL -BALANCE DUE AS -OF 11/01/2010: 0.00 i U � f" Fee Amounts are valid for date of this document only. Fees subject to change without notice.