HomeMy WebLinkAbout5543 Fossil Ridge Dr W - Permits/Reroof - 06/21/2012Frof
t Collins
Site Address: 5543 FOSSIL RIDGE DR
Job Valuation: $1,600.00 Category: Residential
Owner: FOSSIL CREEK PROPERTIES INC
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203736
Issued Full: 06/21/2012
Permit Type: Residential Roofing
1407 S COLLEGE AVE
FORT COLLINS, CO 80524 Phone: 217-9826
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Dec Group:
Fire Sprkir: Stock plan #:
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Contractor: STORM ROOFING-_, !;
6701 KEVIN DRf
FORT COLLINS, CO80525
Basement sq ft:
License M R-2063 Supervisor cert #:
Phone:970-581-8160
Subcontractor(s)- Phone
Roofing: STORM ROOFING `� 970-581=8160
0 - O
Work Descri tion: TEAR OFF TO, DECK AND RI
VENTILATION. \ -
License Number
❑ R-2063
R S �\
T SHINGLES. PROVIDE
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections: RF
TOTAL FEES PAID AS OF 06/21/12: $92.45 Payment method: Check 1465
Fee Detail Displayed on Next Page
As a condison for the issuance of a permit, I hereby declare that I am the owneror 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 nufl and void if the work authorized by such permit is not commenced,
suspended, abardoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: G Print Name: te'0 ./ Y r "r"F7 nLZDate:
Form Revised Oct 2010
City of
�,.F,.rt Collins
Site Address: 5543 FOSSIL RIDGE DR
Job Valuation: $1,600.00 Category: Residential
Transactions
Check CK# 1465 06/21/2012 $92.45
Receipt issued: 06/21/2012 Total Paid to Date: $92.45
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $55.25
Subs
City Sales/Use Tax 251.122030 $30.80
County Sales/Use Tax 100.217030 $6.40
TOTAL FEES: $92.45
TOTAL B
;i
Community Development &r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203736
Issued Full: 06/21/2012
Permit Type: Residential Roofing
Comments
STORM ROOFINT CK#1465
Amount Paid Date Paid Amount Due
$55.25 06/21/2012 $0.00
$30.80 06/21/2012
$6.40 06/21/2012
$92.45
$0.00
$0.00
$0.00
M DUE AS OF 06/21/2012: 0.00
0
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct2010