HomeMy WebLinkAbout1528 W Lake St - Permits/Reroof - 06/03/2014of
FCity
t` Collins
Site Address: 1528 W LAKE ST
Job Valuation: $2,000.00 Category: Residential
Owner: YOUNG PATRICIA
925 ALEXA WAY
FORT COLLINS, CO 80526
Zoning: Front setback: Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1402736
Issued Full: 06/03/2014
Permit Type: Residential Roofing
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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: DRENNEN CUSTOM CONTRACTING
P.O. BOX 272167, 608 E TRILBY ROAD
FORT COLLINS,`CO 80527-2167,
Subcontractors)_=
'-7
Work Descriotion: Tear off existiha sh
manufactures high wind specifications. Ice
License #: D-187 Supervisor cert#:
Phone:970-482-9100
P oh ne # License Number
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and re -roof w ti h 20squares.. Provide adequateati6nAlnstall per
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SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections:
TOTAL FEES PAID AS OF 06103/14: $110.75 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: %% j� _Print Name: N I I. ]Z Lk (e Date:
Form Revised Oct 2010
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F6rtCollins
Site Address: 1628 W LAKE ST
Job Valuation: $2,000.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 06/03/2014
Receipt issued: 06/03/2014 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:
t i
Community Development & Neighborhood Services
281N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1402736
Issued Full: 06/03/2014
Permit Type: Residential Roofing
Amount Paid Comments
$110.75 Paid $110.75 with trust account
$110.75
Fee Amount Amount Paid Date Paid Amount Due
$66.25 $66.25 06/03/2014 $0.00
$38.50
$6.00
$110.75
TOTALS
$38.50 06/03/2014
$6.00 06/03/2014
$110.75
DUE
L1
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.