HomeMy WebLinkAbout2838 Annelise Way - Permits/Reroof - 10/02/2014Ft Collins
Site Address: 2838 ANNELISE WAY
Job Valuation: $2,000.00 Category: Residential
Owner: BEAUCHAMP ROBERT N/RUTH
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1409319
Issued Full: 10/02/2014
Permit Type: Residential Roofing
2838 ANNELISE WAY
FORT COLLINS, CO 80525 Phone: 970-232-9296
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: 1 Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: _
# of stories: 1 Occ Group: Const Type: _
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: JERRYS ROOFING
115 E 2ND ST License #:
i
R-1973
LOVELAND, CO 80537 Phone: 970-667-1269
Subcontractors)
Roofing: JERRYS ROOFING
i
Basement sq ft:
Supervisor cert#:
License Number
❑ R-1973
Work Description: Tear off existing shingles to decking and re -roof with-20 squares of new shingles. Provide requir(
ventilation. Ice and water shield required. Instal6peEma fnu actures-high wind specifications. Uses F&G Roofing. 1 story
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Inspections:
TOTAL FEES PAID AS OF 10/02114: $110.75 Payment method: Check 3307
" 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: c�Pp„,0 L, �(A yZtA-L,, Print Name: A l QX t,J i I C f Date: (' D - ?j — ( y
Form Revised Oct 2010
Itv O Community Deuelopment&Neighborhood Seruices
For't Collins 281N. CollegeAue FortCollins, COSo522
970.221.6�60 9�0.224.6i34 -f�
Building Permit#: B1409319
� Issued Full: 10/02/2014
Permit Type: Residential Roofing
Site Address: 2838 ANNELISE WAY
Job Valuation: 2 000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Check CK#3307 10/02/2014 $110.75 Paid $110.75 with check#3307 from Jerry's Roofing
Receipt issued: 10/02/2014 Total Paid to Date: $110.75
- Fee Descriation Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $66.25 $66.25 10/02/2014 $0.00
Subs
City Sales/Use Tax 251.122030 $38.50 $38.50 10/02/2014 $0.00
County Sales/Use Tax 100.217030 $6.00 $6.00 10/02/2014 $0.00
TOTAL FEES: $110.75 $170.75 $0.00
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�`;��� -,;�� � �� . "�,`��' �,TOTAL BALANCE DUE AS OF 10/02/2014: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Fortn Revised Oct 2010