HomeMy WebLinkAbout5321 Golden Willow Dr - Permits/Reroof - 07/15/2014Fart Collins
Site Address: 5321 GOLDEN WILLOW DR
Job Valuation: $3,500.00 Category: Residential
Owner: GRANDBOIS THOMAS RICHARD
5321 GOLDEN WILLOW DR
FORT COLLINS, CO 80528
Zoning: Frontsetback:
Rear setback:
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1403864
Issued Full: 07/16/2014
Permit Type: Residential Roofing
Phone: 970-691-3808
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Contractor: BERNA ROOFING _
2927 BASSICKST
FORT COLLINS; CO
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
80526
Subcontractor(s?
Roofing: I BERNA ROOFING
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Work Descriotion: Tear off existina shinales to
Install shingles per manufacturer•+s; high -wind specif
License #: R-1719 Supervisor cert#:
Phone: 970-412-2022
License Number
R-1719
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ares of new shingles. Provide required
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 07/16/14: $164.63 Payment method: Credit Card
** Fee Detail Displayed on Next Page
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.
Print Name: r Date: As� y
orm hevised Oct 2010
/0"OF�o�rfCollins
Site Address: 5321 GOLDEN WILLOW DR
Job Valuation: $3,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 07/15/2014 $164.63
Receipt issued: 07/15/2014 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 � I
r
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1403864
Issued Full: 07/15/2014
Permit Type: Residential Roofing
Comments
Pay by Berna Roofing credit card
Amount Paid Date Paid Amount Due
$86.75 07/15/2014 $0.00
$67.38 07/15/2014
$10.50 07/15/2014
$164.63 $164.63
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS,OF 07/15/2014: 0.00
`__'
Fee Amounts are valid for date of this document only. Fees subject to change without notice.