HomeMy WebLinkAbout2804 W Elizabeth St - Permits/Reroof - 06/04/2012�t Collins
Site Address: 2804 W ELIZABETH ST
Job Valuation:. $2,700.00 Category: Residential
Owner: HARIRI YAHYA/ROSE ANNE
7847 WINDSONG DR
WINDSOR, CO 80550
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 #: B1203281
Issued Full: 06/04/2012
Permit Type: Residential Roofing
Phone: 970-371-1877
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: AFFORDABLE ROOFING & RMDL
217 W TRILBY kD l .-
FORT COLLINS, CO 80525
Subcontractors) 7_1
Roofing: AFFORDABLE ROOFING.& RMDL
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Work Description: REMOVE AND REPLACE EXISTING,ROO NIF G
SHINGLES. PROVIDE REQUIRED ATTIC VENATION.
License #: R-1859
Phone: 970-207-0000
Supervisor cert#:
License Number
❑ R-1859
1
WITH 27 SQS OF COMPOS
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: RF
TOTAL FEES PAID AS OF 06/04/12: $139.28 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 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: atYl.r. Print Name: Date: �e �t( -( Z'
—W Form Revised Oct 2010
City of
F6rt
„Collins
Site Address: 2804 W ELIZABETH ST
Job Valuation: $2,700.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit M B1203281
Issued Full: 06/04/2012
Permit Type: Residential Roofing
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 06/04/2012 $139.28 AFFORD TRUST
Receipt issued: 06/04/2012 Total Paid to Date: $139.28
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $76.50 $76.50 06/04/2012 $0.00
Subs
City Sales/Use Tax 251.122030 $51.98 $51.98 06/04/2012 $0.00
County Sales/Use Tax 100.217030 $10.80 $10.80 06/04/2012 $0.00
TOTAL FEES: $139.28 $139.28 $0.00
TOTAL BALANCE DUE AS_OF 06/04/2012: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.