HomeMy WebLinkAbout523 Peterson St - Permits/Reroof - 10/31/2011,,�c�of
F6rt`Collins
Site Address: 523 PETERSON ST
Job Valuation: $1,400.00 Category: Residential
Owner: COZZOLA, DAVID M
1562 WINDCREEK CT
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109599
Issued Full: 10/31/2011
Permit Type:
Phone: 970-206-0388
Residential Roofing
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ADVANCED EXTERIORS, INC.
2200 S VALLEY HWY
DENVER, CO 80222
Subcontractor(s)
Roofing: ADVANCED EXTERIORS, INC.
Filing #: Lot #: Block #:
Ind sq ft: Basement sq it:
Const Type:
Stock plan options:
License #: R-2118
Phone: 303-756-7663
Phone
303-756-7663
Supervisor cert #:
License Number
R-2118 .
Work Description: REMOVE EXISTING ROOFING MATERIALS TO THE DECKING AND REROOF WITH 14 SQUARES OF
TIMBERLINE HD SHINGLES. PROVIDE REQUIRED ATTIC VENTILATION.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
Inspections: RF
TOTAL FEES PAID AS OF 10/31/11: $56.05 Payment method: Trust Account
** Fee Detail Displayed on Next Page
As a condition for the issuance of a peril, 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 peril 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: _Date: io - 3 _ � 1
Form Revised Oct 2010
,,.F�ort� Collins
Site Address: 523 PETERSON ST
Job Valuation: $1,400.00 Category: Residential
Transactions
Trust Account
10/31/2011
$56.05
Receipt issued: 10/31/2011 Total Paid to Date:
$56.05
Fee Description
Account Code
Fee Amount
Building Permit Fee Without
1000.422010
$56.50
Subs
Building Permit Fee Without
1000.422010
-$33.00
Subs
City Sales/Use Tax
251.122030
-$86.01
City Sales/Use Tax
251.122030
$112.96
County Sales/Use Tax
100.217030
-$17.87
County Sales/Use Tax
100.217030
$23.47
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109599
Issued Full: 10/31/2011
Permit Type: Residential Roofing
Comments
PAID BY ADVANCED TRUST
Amount Paid
Date Paid
Amount Due
$56.50
10/31/2011
$0.00
-$33.00
10/31/2011
$0.00
-$86.01
10/31/2011
$0.00
$112.96
10/31/2011
$0.00
-$17.87
10/31/2011
$0.00
$23.47
10/31/2011
$0.00
TOTAL FEES: $56.05 $56.05 $0.00
TOTAL BALANCE DUE AS OF 10/31/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010