HomeMy WebLinkAbout532 Jansen Dr - Permits/Reroof - 06/06/2012 (2)rm of
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Site Address: 532 JANSEN DR
Job Valuation: $2,500.00 Category: Residential
Owner: DOAK, ETHAN S/RENEE S
532 JANSEN DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone: 222-5616
Building Permit #: B1110051
Issued Full: 06/06/2012
Permit Type: Residential Roofing
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:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing #: Lot #: 40 Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: '
License #:
Phone:
Supervisor cert#:
Subcontractor(s) `' Q" �` `'
� � Phone License Number
V �
O O
DescriDtion: TEAR OFF EXISTING SHINGLES
DE REQUIRED ATTIC VENTILATION: INSTALL•Si
4STALL 25 SQUARES OF NEW S
FACTURER'S HIGH -WIND SPECI
SCHEDULE INSPECTIONS: "' By Phone: 970-221-6769 "' By Web: hftp://amos.fcgov.com/CitizenAccess
***By Mobile Device: hftp://amos.fcgov.com/CitizenAccess/amca/
Ins ections: RF
TOTAL FEES PAID AS OF 06/06/12: $96.63 . Payment method: Check 8699
" Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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 t 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: Print Name: L(6. NLGtHhC405
Date: 4P. 101 go la
Form Revised Oct 2010
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t Collins
Site Address: 532 JANSEN DR
Job Valuation: $2,500.00 Category: Residential
Transactions
Check CK # 8699 11/07/2011 $96.63
Receipt Issued: 06/06/2012 Total Paid to Date: $96.63
Fee Description Account Code Fee Amount
Building. Permit Fee Without 1000.422010 $38.50
Subs
City Sales/Use Tax 251.122030 $48.13
County Sales/Use Tax 100.217030 $10.00
TOTAL FEES: $96.63
�� I _TOTAL B,
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Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110051
Issued Full: 06/06/2012
Permit Type: Residential Roofing
Comments
PAID BY MELISA MATTHEWS CH48699
Amount Paid Date Paid Amount Due
$38.50 11/07/2011 $0.00
$48.13 11/07/2011 $0.00
$10.00 11/07/2011 $0.00
$96.63
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
Form Revised Oct2010