HomeMy WebLinkAbout3819 Benthaven St - Permits/Reroof - 05/17/2012;,rt Collins
Site Address: 3819 BENTHAVEN ST
Job Valuation: $3,067.00 Category: Residential
Owner: KUIPER WILLIAM H
3819 BENTHAVEN ST
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -,%
Building Permit #: B1202955
Issued Full: 05/17/2012
Permit Type: Residential Roofing
Phone: 970-213-2002
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing M Lot #: Block #:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ASSURANCE ROOFING COMPANY
2308 CHANDLERST
FORT COLLINS, CO 80528
Subcontractor(s1�
Roofing: ASSURANCE ROOFINiG COMPANY
C) I
Work Descriotion: REMOVE EXISTING MATERIALS TO THE
SHINGLES. WORK TO BE COMPLETED BY (E-1 DORADO COIN
INSTALL PER HIGH WIND AREA SPECIFICATIONS.
Ind sq ft: _
Const Type:
Stock plan options:
License #: R-2172
Phone: 970-797-2502
Basement sq ft:
Supervisor cert #:
License Number
❑ R-2172
D REROOF WITH 30.67 SOS OF ASPHAL
PROVIDE REQUIRED ATTIC VENTILATI
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CltizenAccess II
***By Mobile Device: http://amos.fcgov.com/CltizenAccess/amca/
Inspections: RF
TOTAL FEES PAID AS OF 05/17/12: $158.08 Payment method: Trust Account
*' Fee Detall 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.
Print Name: N I (A6W M Date: `� 7 l IG�
Form Revised Oct 2010
City of
/'O,.rt Collins
Site Address: 3819 BENTHAVEN ST
Job Valuation: $3,067.00 Category: Residential
Transactions
Trust Account 05/17/2012
Receipt Issued: 05/17/2012 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
Amount Paid
$158.08
$158.08
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1202955
Issued Full: 05/17/2012
Permit Type: Residential Roofing
Comments
ASSURANCE ROOFING TRUST ACCT
Fee Amount Amount Paid Date Paid
$86.75 $86.75 05/17/2012
$59.06 $59.06 05/17/2012
$12.27 $12.27 05/17/2012
TOTAL FEES: $158.08 $158.08
> TOTAL
_O
Amount Due
$0.00
$0.00
$0.00
$0.00
CE DUE AS OF 05/17/2012: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010