HomeMy WebLinkAbout7221 Kersey Ct - Permits/Reroof - 10/07/2011Fo�cirt` Collins
Site Address: 7221 KERSEY CT
Job Valuation: $2,000.00 Category: Residential
Owner: MILLER RANDAL K/CONSTANCE E
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970z21.676o 970.224.6134 -fax
Building Permit #: 131108554
Issued Full: 10/07/2011
Permit Type: Residential Roofing
7221 KERSEY CT
FORT COLLINS, CO 80525
Phone: 816-786-0937
Zoning: Front setback: Rear setback:
Right setback: Left setback:
Minor Amend #: Plat File #:
ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: 54 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 WORX, LLC
License #: R-2165 Supervisor cert #:
12301 N. GRANT ST #130
THORNTON, CO 80241
Phone: 303-353-1825
Subcontractors)
Phone License Number
Roofing: ROOF WORX, LLC
303-353-1825 R-2165 _ ,
,.,
Work Description: TEAR OFF EXISTING SHINGLES TO
DECKING AND INSTALL 20 SQUARES OF NEW SHINGLES.
PROVIDE REQUIRED ATTIC VENTILATION. INSTALL SHINGLES PER MANUFACTURER'S HIGH -WIND SPECIFICATIONS> '.
I-
" SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 10/07/11: $79.00 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 owneror owners agent, authored 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 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.
Signature Print Name: ry/�S A/�(r!IPi✓ Date:
Forth Revised Oct 2010
of
,;rt� Collins
Site Address: 7221 KERSEY CT
Job Valuation: $2,000.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1108554
Issued Full: 10/07/2011
Permit Type: Residential Roofing
Credit Card
10/0712011
$79.00
PAID BY THOMAS MILLER CC
Receipt issued: 10/07/2011 Total Paid to Date:
$79.00
Fee Description
Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$32.50
$32.50 10/07/2011
$0.00
Subs
City Sales/Use Tax
251.122030
$38.50
$38.50 10/07/2011
$0.00
County Sales/Use Tax
100.217030
$8.00
$8.00 10/07/2011
$0.00
TOTAL FEES:
$79.00
$79.00
$0.00
TOTAL BALANCE DUE AS OF.10/07/2011:
L1.00
<
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010