HomeMy WebLinkAbout5115 Madison Creek Dr - Permits/Reroof - 11/07/2011;arof
t` Collins
Site Address: 5115 MADISON CREEK DR
Job Valuation: $2,600.00 Category: Residential
Owner: MCCAMBRIDGE, ADAM G
5115 MADISON CREEK DR
FORT COLLINS, CO 80528
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 377-2651
Building Permit #: B1110033
Issued Full: 11/07/2011
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: MAJESTIC ROOFING
6200 N GARFIELD
LOVELAND, CO 80538
Subcontractor(s)
Roofing: MAJESTIC ROOFING.
Filing* Lot #: 33 Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: R-1510 Supervisor cert #:
Phone: 970-667-8500
Phone License Number
970-667-8500 R-1510,. —
Work Description: TEAR OFF EXISTING SHINGLES TO -DECKING AND "INSTALL 26 SQUARES OF NEW SHINGLES>_
PROVIDE REQUIRED ATTIC VENTILATION. INSTALL SHINGLES.PER MANUFACTURER'S HIGH -WIND SPECIFICATIONS:''
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 11/07/11: $98.95 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 owneror 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: It Date:
Form Revi ed Oct 2010
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F�ort� Collins
Site Address: 5115 MADISON CREEK DR
Job Valuation: $2,600.00 Category: Residential
Transactions
Trust Account 11/07/2011 $98.95
Receipt issued: 11/07/2011 Total Paid to Date: $98.95
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $38.50
Subs
City Sales/Use Tax 251.122030 $50.05
County Sales/Use Tax 100.217030 $10.40
Community Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.6760 970.224.6134 -fax
Building Permit #: B1110033
Issued Full: 11/07/2011
Permit Type: Residential Roofing
Comments
PAID BY MAJESTIC TRUST ACCT
Amount Paid Date Paid Amount Due
$38.50 11/07/2011 $0.00
$50.05 11/07/2011
$10.40 11/07/2011
$0.00
$0.00
TOTAL FEES: $98.95 $98.95 $0.00
TOTAL BALANCE DUE AS OF 11/07/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Forth Revised Oct 2010