HomeMy WebLinkAbout520 Kim Dr - Permits/Reroof - 11/01/2011F6rt�„`o'C`olli�s
Site Address: 520 KIM DR
Job Valuation: $2,100.00 Category: Residential
Owner: TRUJILLO, TOM
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109895
Issued Full: 11/01/2011
Permit Type: Residential Roofing
520 KIM DR
FORT COLLINS, CO 80525 Phone: 541-08??
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: Filing #: Lot #: 81 Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const'Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: SHAUGHNESSY CONTRACTING, INC. License #: R-2233 Supervisor cert #:
6045 N. 57TH DR
GLENDALE, AZ 85301 Phone: 623-939-1336
Subcontractor(s)_� Phone ; License Number
Roofing: SHAUGHNESSY CONTRACTING,.I 623-939-1336. R-2233 - _
Work Description: TEAR OFF TO DECK AND REPLACE-21 SQS WITH ASPHALT SHINGLES. PROVIDE REQUIRED -ATTIC
VENTILATION.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amQs.fcgov.com/CitizenAccess **
Ins ections: RF
TOTAL FEES PAID AS OF 11/01/11: $87.33 Payment method: Credit Card
" 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: "nt Name: � 4
Q/ �' Date:
Form Revised Oct 2010
Wiof
t_ Collins
Site Address: 520 KIM DR
Job Valuation: $2,100.00 Category: Residential
Transactions
Credit Card 11 /01 /2011
Receipt issued: 11 /01 /2011 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL FEES:
Amount Paid
$87.33
$87.33
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131109895
Issued Full: 11/01/2011
Permit Type: Residential Roofing
Comments
JEFFREY SHAUGHNESSY CC
Fee Amount Amount Paid Date Paid
$38.50 $38.50 11 /01 /2011
s-
$40.43 $40.43 11 /01 /2011
$8.40 $8.40 11 /01 /2011
$87.33 $87.33
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Amount Due
$0.00
$0.00
$0.00
$0.00
Form Revised Oct 2010