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Home My WebLink About500 Albion Way - Permits/Reroof - 10/22/2014of ,,F,�co'rt` Collins Site Address: 500 ALBION WAY Job Valuation: $1,800.00 Category: Residential Owner: FOX TALIA 500 ALBION WAY FORT COLLINS, CO 80526 Zoning: Frontsetback: Rear setback: Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit#: B1410446 Issued Full: 10/22/2014 Permit Type: Residential Roofing Phone: 970-545-2545 Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT Legal: Subdivision/PUD: Filing #: Lot #: Block #: Code: Res sq ft: Com sq ft: Ind sq ft: # of stories: 1 Doc Group: Const Type: Fire Sprklr: Stock plan #: Stock plan o Contractor: AFFORDABLE ROOFING & RMDL 217 W TRILBY RD FORT COLLINS, CO 80525 Basement sq ft: License #: R-1859 Supervisor cert#: Phone:970-207-0000 Subcontractor(s) Phone Roofing: AFFORDABLE ROOFING & RMDL 970-207-0000 License Number R-1859 Work Description: Tear off existing shingles to decking and re -roof with 18 squares of Owens Corning Duration Storm shingles -Provide required attic ventilation -Install required ice & water shield -Install shingles per manufacturer's high -wind specifications-1 story- Using Exempt Workers; Lunaz Roofing. 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 10/22/14: $100.80 Payment method: Trust Account —Fee Detaf/ Displayed on Next Page Asa 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 an incorrect information. This permit shall became 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: Print Name: Date: Form Revised Oct 2010 Community Development &Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 `Ins 970.221.676o 970.224.6134 -fax Building Permit#: B1410446 Issued Full: 10/22/2014 Permit Type: Residential Roofing Site Address: 500 ALBION WAY Job Valuation: $1,800.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Comments Trust Account 10/22/2014 $100.80 Receipt issued: 10122/2014 Total Paid to Date: $100.80 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000.422010 $60.75 $60.75 10/22/2014 $0.00 Subs City Sales/Use Tax 251.122030 $34.65 $34.65 10/22/2014 $0.00 County Sales/Use Tax 100.217030 $5.40 $5.40 10/22/2014 $0.00 TOTAL FEES: $100.80 $100.80 $0.00 TOTAL BALANCE DUE AS OF 1012212014: 0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.