HomeMy WebLinkAbout2806 W Lake St - Permits/Reroof - 10/12/2011of
,;rt� Collins
Site Address: 2806 W LAKE ST
Job Valuation: $2,700.00 Category: Residential
Owner: KELLY, MICHAEL L/ANITA L
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1108831
Issued Full: 10/12/2011
Permit Type: Residential Roofing
5127 HIDDEN SPRINGS RD
FORT COLLINS, CO 80526-6511 Phone: 556-5157
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:
Code: Res sq ft:
# of stories
Fire Sprklr:
Corn sq ft:
Occ Group:
Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
Contractor: NORDKAP CONSTRUCTION LLC License #: R-2188 Supervisor cert#:
1250 S BUCKLEY RD
AURORA, CO 80017 Phone: 720-280-7099
Subcontractor(s) Phone License Number
Roofing: NORDKAP CONSTRUCTION LLC 720-2804099 ,R--2188 _
Work Descrintion: TEAR OFF EXISTING SHINGLES TO -DECKING AND INSTALL 27 SQUARES OF NEW SHINGLES:
PROVIDE REQUIRED ATTIC VENTILATION. INSTALL SHINGLES PER MANUFACTURER'S HIGH -WIND SPEC]FICATIONS:
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess **
Ins ections: RF
TOTAL FEES PAID AS OF 10/12/11: $101.28 Payment method: Check 7128
Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror owner's 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 intoned information. This permit shall become null and void if the work authorized by such permit is rat 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.
Signat a Print Name: . 22� e'yo Date: �L�/LILT
Form Revised Oct 2010
of
,,.F�o`rt` Collins
Site Address: 2806 W LAKE ST
Job Valuation: $2,700.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1108831
Issued Full: 10/12/2011
Permit Type: Residential Roofing
Check CK # 7128 10/12/2011
$101.28
PAID BY NORDKAP CH#7128
Receipt issued: 10/12/2011 Total Paid to Date:
$101.28
Fee Description
Account Code
Fee Amount
Amount Paid Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$38.50
$38.50 10/12/2011
$0.00
Subs
City Sales/Use Tax
251.122030
$51.98
$51.98 10/12/2011
$0.00
County Sales/Use Tax
100.217030
$10.80
$10.80 10/12/2011
$0.00
TOTAL FEES:
$101.28
$101.28
$0.00
TOTAL BALANCE DUE AS OF 10/1212011:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010