HomeMy WebLinkAbout5620 Fossil Creek Pkwy - Permits/Reroof - 10/24/2011 (8)of
,,.F�ort� Collins
Site Address: 5620 FOSSIL CREEK PKWY 6N�13 ,
Job Valuation: $4,700.00 Category: Residential
Owner: TOUCHSTONE PROPERTY MGT
5620 FOSSIL CREEK PKWY BLDG A
FORT COLLINS, CO 80525
Community Development &r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 567-9158
Building Permit #: B1109583
Issued Full: 10/24/2011
Permit Type: Residential Roofing
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: AFFORDABLE ROOFING & RMDL
217 W TRILBY RD
FORT COLLINS, CO 80525
Subcontractor(s)
Roofing: AFFORDABLE ROOFING & RMDL
Filing #: Lot #: 201 Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: R-1859
Phone: 970-207-0000
Phone
970-207-0000
Basement sq ft:
Supervisor cert #:
License Number
__R-1859
Work Description: TEAR OFF TO DECK AND REPLACE 47 SOS WITH ASPHALT SHINGLES. PROVIDE REQUIRED;ATTIC
VENTILATION. I
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess '*
Inspections: RF
TOTAL FEES PAID AS OF 10/24/11: $159.78 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 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: Print Name: C` % 7'4CS" (" Date:
Form Revised Oct 2010
of
,,F�ort� Collins
Site Address: 5620 FOSSIL CREEK PKWY
Job Valuation: $4,700.00 Category: Residential
Transactions
Trust Account 10/24/2011 $159.78
Receipt issued: 10/24/2011 Total Paid to Date: $159.78
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $50.50
Subs
City Sales/Use Tax 251.122030 $90.48
County Sales/Use Tax 100.217030 $18.80
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109583
Issued Full: 10/24/2011
Permit Type: Residential Roofing
Comments
PAID BY AFFORABLE TRUST ACCT
Amount Paid Date Paid Amount Due
$50.50 10/24/2011 $0.00
$90.48 10/24/2011
$18.80 10/24/2011
$0.00
$0.00
TOTAL FEES: $159.78 $159.78 $0.00
TOTAL BALANCE DUE AS.OF 1012412011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct2010