HomeMy WebLinkAbout625 W Lake St - Permits/Reroof - 10/21/2011City of
F6rt Collins
Site Address: 625 W LAKE ST
Job Valuation: $1,180.00 Category: Residential
Owner: PI PHI GAMMA HOUSE CORP
1466 FRONT NINE DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109537
Issued Full: 10/21/2011
Permit Type: Residential Roofing
Phone: 970-226-2574
Zoning: Frontsetback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
Com sq ft:
# of stories:
Occ Group:
Fire Sprklr:
Stock plan #:
Contractor: SCHROEDER ROOFING COMPANY
1300 N MONROE
LOVELAND, CO
80537
Subcontractor(s)_ -_ .
Roofing: SCHROEDER
ROOFING COMPANY
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: R-1408 Supervisor cert#:
Phone:970-667-6777
Phone License Number
970-667-6777 RR 1408--
Work DescriDtion: REMOVE EXISTING ROOFING MATERIALS TOTHEDECKING AND REROOF WITH 11.88 SQS-OF-ALL
NEEDED FLASHINGS, FELT SHINGLES PROVIDE REQUIRED -ATTIC VENTILATION.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http:/Iamos.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 10121/11: $47.94 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or 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 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.
6,1S, Y//
Signature: Avt?�ALPrint Name:
Date: /y r X _
Form Revised Oct 2010
City of Community Development & Neighborhood Services
Fort Collins 281 N. College Aue Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1109537
Issued Full: 10/21/2011
Permit Type: Residential Roofing
Site Address: 625 W LAKE ST
Job Valuation: $1,180.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 10/21/2011
$47.94
SCHROEDERTRUST
Receipt issued: 10/21/2011 Total Paid to Date:
$47.94
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$20.50
$20.50
10/21/2011
$0.00
Subs
City Sales/Use Tax 251.122030
$22.72
$22.72
10/21/2011
$0.00
County Sales/Use Tax 100.217030
$4.72
$4.72
10/21/2011
$0.00
TOTAL FEES: $47.94 $47.94 $0.00
TOTAL BALANCE DUE ASOF10/21/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.