HomeMy WebLinkAbout1928 W Lake St - Permits/Reroof - 12/02/2010City of
F6rt Collins
Site Address: 1928 W LAKE ST
Job Valuation: $3,000.00 Category: Residential
Owner: PARKER, LEE
Community Development & Neighborhood Services
281 N. CollegeAue Fort Collins, CO 80522
97o.221.676o 970.224.6134 -fax
1928 W LAKE ST
FORT COLLINS, CO 80521-4338 Phone: 482-4798
Zoning: Front setback: Rear setback: Right setback
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #
Building Permit #: B1007649
Issued Full: 12/02/2010
Permit Type: Residential Roofing
Left setback:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Contractor: FM ROOFING License #: R-400 Supervisor cert #:
1629 S. LEMAY AVE
FORT COLLINS, CO ,80525Phone: 970-221-1388
Subcontractos-one License Number
Work Description: RESIDENTIAL - INSTALL FIRESTONE CLASS A-EPDM ON FLAT PORTION OF ROOF ONLY (THEE
ENTIER ROOF AREAS WAS REMO
VE AND NEVER REPLACED -FELT PAPER ONLY) THE PITCHED ROOF--,.,.
PORTION OF THE ROOF WILL BE -SHINGLED WITH -LAMINATED SHINGLES - 30 SQUARES - PROVIDE REQUIRED ATTIC
VENTILATION - WORK TO BE DONE BY EXEMPT WORKERS RIOS ROOFING
Basement sq ft:
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 12/02/10: $95.50 Payment method: Check 9230
" 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.
Signature:
Name: rr �CCA u' Date:
14 4 -/D
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1928 W LAKE ST
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Check CK # 9230 12/02/2010 $95.50
Receipt issued: 12/02/2010 Total Paid to Date: $95.50
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $38.50
Subs
City Sales/Use Tax 251.122030 $45.00
County Sales/Use Tax 100.217030 $12.00
TOTAL FEES: $95.50
TOTAL-B
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I
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1007649
Issued Full: 12/02/2010
Permit Type: Residential Roofing
Comments
FM ROOFING CK#9230
Amount Paid Date Paid Amount Due
$38.50 12/02/2010 $0.00
$45.00 12/02/2010 $0.00
$12.00 12/02/2010 $0.00
$95.50
$0.00
4CE DUE AS -OF 12/02/2010: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.