HomeMy WebLinkAbout5904 Mercury Dr - Permits/Reroof - 01/10/2012City of
F6rt Collins
Site Address: 5904 MERCURY DR
Job Valuation: $1,500.00 Category: Residential
Owner: SMITH VICTOR R/PHYLLIS
1339 CATALPA DR
FORT COLLINS, CO 80521
Zoning:' Front setback:
Rear setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1200113
Issued Full: 01/10/2012
Permit Type: Residential Roofing
Phone: 970-493-0742
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: ADVANCED ROOFING,TECH
4496 BENTS DR, UNIT C
WINDSOR, CO 60550
Subcontractors)
Roofing: ADVANCED_ROOFING TECH
O
Work Description: REMOVE AND -DISPOSE OF, EXISTING
OAKRIDGE SHINGLES. PROVIDEREQUIRED"ATT.IC-VENTILA-
License #: R-1161 Supervisor cert#:
Phone: 970-663-0203
D REROOF WITH 15 SQS OF
License Number
R-1161
H 3
ING
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess II
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
InsDections: RF
TOTAL FEES PAID AS OF 01/10/12: $87.38 Payment method: Trust Account
Fee Derail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
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:"��- ,, (j{,,,"l Date:(�—
Form Revised Oct 2010
F�ortCollins
Site Address: 5904 MERCURY DR
Job Valuation: $1,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 01/10/2012 $87.38
Receipt issued: 01/10/2012 Total Paid to Date: $87.38
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $52.50
Subs
City Sales/Use Tax 251.122030 $28.88
County Sales/Use Tax 100.217030 $6.00
TOTAL FEES: $87.38
`.... \�/ 7 ' TOTAL B
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1200113
Issued Full: 01/10/2012
Permit Type: Residential Roofing
Comments
ADVANCEC ROOF TRUST
Amount Paid Date Paid Amount Due
$52.50 01/10/2012 $0.00
$28.88 01/10/2012 $0.00
$6.00 01/10/2012 $0.00
$87.38
$0.00
ICE DUE A 01/10/2012: 0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.