HomeMy WebLinkAbout1918 Derby Ct - Permits/Reroof - 12/05/2011City of
F6rt Collins
Site Address: 1918 DERBY CT
Job Valuation: $1,350.00 Category: Residential
Owner: GUIDRY LAUREL/KIRK A/SHELLEY P
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110894
Issued Full: 12/05/2011
Permit Type: Residential Roofing
1918 DERBY CT
FORT COLLINS, CO 80526 Phone: 225-931-7446
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 #:
Code: Res scl ft: Com scl ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: GRISSOM CONTRACTING
9396 E MCGILL CT
PARKER, CO 80134
Subcontractoi(s)=
Work Descrintion: REMOVE EXISTING ROOFING
FOR 13.50 SQS. PROVIDE REQUIRED ATTIC VENT.IL-f
Ind scl ft:
Const Type:
Stock plan options:
Lot #: Block #:
Basement scl ft:
License #: D-717 Supervisor cert#:
Phone: 303-204-0408
j' Phone License Number
77 - � , ❑ �--fir'_ `r. _—�.
I
NG AND REROOF WITH 30
I SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess I
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: RF
TOTAL FEES PAID AS OF 12/05/11: $54.89 Payment method: Credit Card
Fee Detall Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror owner's agent, authorized to perform the proposed work on the properly 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.
Print Name: &&�p� U Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 1918 DERBY CT
Job Valuation: 1 350.00 Category: Residential
Transactions
Credit Card
12/05/2011
Receipt issued: 12/05/2011 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
Amount Paid
$54.89
$54.89
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110894
Issued Full: 12/05/2011
Permit Type: Residential Roofing
Comments
paid by John Grissom credit card
Fee Amount Amount Paid Date Paid
$23.50 $23.50 12/05/2011
$25.99 $25.99 12/05/2011
$5.40 $5.40 12/05/2011
TOTAL FEES: $54.89
TOTAL B
$54.89
Amount Due
$0.00
$0.00
$0.00
$0.00
CE DUE AS -OF 1 2105/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010