HomeMy WebLinkAbout1609 Crestmore Pl - Permits/Reroof - 11/29/2011City of
F6rt Collins
Site Address: 1609 CRESTMORE PL
Job Valuation: $1,800.00 Category: Residential
Owner: MILLER M DARLENE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110797
Issued Full: 11/29/2011
Permit Type: Residential Roofing
4849 SEASONS VIEW
PUEBLO, CO 81008 Phone:719-821-1192
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 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:. BOB BEHRENDS ROOFING LLC License #: R-1772 Supervisor cert #:
614 5TH AVE
GREELEY, CO 80631 Phone: 970-395-0406
Subcontractoi(s)_ ._�
J �Phone j ; License Number
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Roofing: BOB BEHRENDS ROOFING LLC_ j 970-395-0406_ — R-1772 ._
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Work Description: TEAR OFF 1 LAYER MODIFIED AND-INteSTALL 2_FLY 1.5LB.,...FELT INSTALL DURATION PREMUIM'=-_ w
SHINGLES FOR 18 SQS. INSTALL SBS MODIFIED INSTALL EDGE -METAL ON EAVES AND RAKES. PROVIDE REQUIRED'ATTC.
VENTILATION.
SCHEDULE INSPECTIONS: ***By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: RF
TOTAL FEES PAID AS OF 12/07/11: $71.35 Payment method: Trust Account
Fee Detail D►s#ayed 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.
1 t
Signature: fJ/A Print Name: j �, 13 P h L e_,v j S Date:
Form Revised Oct 2010
City of
F6rt Collins
1/00
Site Address: 1609 CRESTMORE PL
Job Valuation: $1,800.00 Category: Residential
Transactions
Trust Account 11/29/2011
Receipt issued: 12/07/2011 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
$71.35
$71.35
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110797
Issued Full: 11/29/2011
Permit Type: Residential Roofing
Comments
BOB BEH TRUST
Fee Amount Amount Paid Date Paid
$29.50 $29.50 11/29/2011
$34.65 $34.65 11/29/2011
$7.20 $7.20 11/29/2011
$71.35 $71.35
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS,OF 12/07/2011: 0.00
I W.
_ L._E
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010