HomeMy WebLinkAbout1019 Boltz Dr - Permits/Reroof - 08/13/2014Fcort of
Site Address: 1019 BOLTZ DR
Job Valuation: $2,300.00 Category: Residential
Owner: COLEMAN MARK A/CECELIA A
1019 BOLTZ DR
FORT COLLINS, CO 80525-2804
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1405991
Issued Full: 08/13/2014
Permit Type: Residential Roofing
Phone:970-225-3948
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
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: CHAMPION WINDOWS OF FC
5850 BYRD DR
LOVELAND, CO 80538
Subcontractorts)_ —]
Roofing: I CHAMPION—WINDOWSS , FCC_
I
Work DescriDtion: Tear down to decking and
water shield required. Install permanufactures higl
License#: R-2335+ Supervisorcert#:
Phone: 970-612-0811
Phone
970-612-081110
-
License Number
t/ — - 335+. --
f
orshield II. Provide reauired attic ventilation. Ice and
Roofing doing the work
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/
Inspections:
TOTAL FEES PAID AS OF 08/13/14: $127.68 Payment method: Credit Card 3580
Fee Derall Displayed 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.
Signature: /—/p%—�/� U� Print Name: (emu f �g ti ,, �t h Date: /�:,4V CT I q
/ Form Revised Oct 2010
6rFfCollins
Site Address: 1019 BOLTZ DR
Job Valuation: $2,300.00 Category: Residential
Transactions
Credit Card CK # 3580 08/13/2014 $127.68
Receipt issued: 08/13/2014 Total Paid to Date: $127.68
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $44.28
County Sales/Use Tax 100.217030 $6.90
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1405991
Issued Full: 08/13/2014
Permit Type: Residential Roofing
Amount Paid Date Paid Amount Due
$76.50 08/13/2014 $0.00
$44.28 08/13/2014
$6.90 08/13/2014
$127.68 $127.68
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF 08/13/2014: 0.00
( CC
[Pill'
Fee Amounts are valid for date of this document only. Fees subject to change without notice.