HomeMy WebLinkAbout704 W Myrtle St - Permits/Reroof - 06/06/2012City of
Fart Collins
Site Address: 704 W MYRTLE ST
Job Valuation: $1,200.00 Category: Residential
Owner: KAVALEC'JOHN D
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1203369
Issued Full: 06/06/2012
Permit Type: Residential Roofing
704 W MYRTLE ST
FORT COLLINS, CO 80521-3636 Phone: 970-493-9089
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Com sq ft:
Occ Group:
Stock plan M
Contractor: PREMIER SIDING& ROOFING
4865 PATMORE ASH
LOVELAND, CO 80538
SubcontractoR
Roofing:
�X
Work Descriotiol
PROVIDE'REQUIREI
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Basement sq ft:
License M R-1423 Supervisor cert #:
Phone: 970-222-3022
r
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 06/06/12: $72.15 Payment method: Credit Card
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or 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 perm 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 data of such permit
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: =zoo 'oeY� Print Name: /,o A4 11kDate: L�j�i .
Form Revised Oct 2010
of
F,rt Collins
Site Address: 704 W MYRTLE ST
Job Valuation: $1,200.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1203369
Issued Full: 06/06/2012
Permit Type: Residential Roofing
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card 06/06/2012 $72.15 PAID BY JEFFREY D COLLINS PREMIER SIDING &
ROOFING CREDIT CARD.
Receipt issued: 06/06/2012 Total Paid to Date: $72.15
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL.FEES:
TOTAL NCE DUE AS OF 06/06� 12: 0.00
O O
Fee Amount Amount Paid Date Paid
$44.25 $44.25 06/06/2012
$23.10 $23.10 06/06/2012
$4.80 $4.80 06/06/2012
Amount Due
$0.00
$0.00
$0.00
$72.15 $72.15
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
Form Revised Oct 2010