HomeMy WebLinkAbout4619 Crest Rd - Permits/Reroof - 08/05/2014�of
t Collins
Site Address: 4619 CREST RD
Job Valuation: $3,500.00 Category: Residential
Owner: JENSEN KAI-UWE
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1405247
Issued Full: 08/05/2014
Permit Type: Residential Roofing
4619 CREST RD
FORT COLLINS, CO 80526 Phone:
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID: Filing #: Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: 1 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: AFFORDABLE ROOFING & RMDL License #: R-1859 Supervisor cart #:
217 W TRILBY RD
FORT COLLINS, CO 80525 , \'F ( \ Phone: 970-207-0000
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:
TOTAL FEES PAID AS OF 08/05/14: $164.63 Payment method: Trust Account
As a condition for the issuance of a permit, I hereby declare that I am the owner or 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:
Print Name:
Date:
Form Revised Oct 2010
of
F6rt Collins
Site Address: 4619 CREST RD
Job Valuation: $3,500.00 Category: Residential
Transactions
Trust Account
08/05/2014
$164.63
Receipt issued: 08/05/2014 Total Paid to Date:
$164.63
Fee Description
Account Code
Fee Amount
Building Permit Fee Without
1000.422010
$86.75
Subs
City Sales/Use Tax
251.122030
$67.38
County Sales/Use Tax
100.217030
$10.50
TOTAL FEES:
I
$164.63
TOT
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1405247
Issued Full: 08/06/2014
Permit Type: Residential Roofing
Comments
Amount Paid
Date Paid
Amount Due
$86.75
08/05/2014
$0.00
$67.38
08/05/2014
$0.00
$10.50
08/05/2014
$0.00
$164.63
DUE
$0.00
4: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.