HomeMy WebLinkAbout4301 Black Hawk Cir - Permits/Reroof - 10/29/2014of
F6rt`�Collins
Site Address: 4301 BLACK HAWK CIR
Job Valuation: $1,800.00 Category: Residential
Owner: HUDICK AMANDA GENE
4301 BLACK HAWK CIR
FORT COLLINS, CO 80526
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1410926
Issued Full: 10/29/2014
Permit Type: Residential Roofing
Phone: 303-913-8098
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL -LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Code: Res sq ft: Com sq ft:
# of stories: 1 Occ Group:
Fire Sprklr: Stock plan M
Contractor: AFFORDABLE ROOFING & RMDL
217 W TRILBY RD
FORT COLLINS, CO 80525
Subcontractor(s)
Roofing: AFFORDABLE ROOFING & RMDL
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License#: R-1859 Supervisorcert#:
Phone: 970-207-0000
Phone License Number
970-207-0000 R-1859
Work Description: Tear off existina shinales to decking and re -roof with 18 sauares of Owens Cornina Duration Storm
Composition 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.
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:
TOTAL FEES PAID AS OF 10/29/14: $100.80 Payment method: Trust Account
`* 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 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:
Print Name:
Date:
Forth Revised Oct 2010
FF16,dm,rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1410926
Issued Full: 10/29/2014
Permit Type: Residential Roofing
Site Address: 4301 BLACK HAWK CIR
Job Valuation: $1,800.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 10/29/2014
$100.80
Receipt issued: 10/29/2014 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
10/29/2014
$0.00
Subs
City Sales/Use Tax 251.122030
$34.65
$34.65
10/29/2014
$0.00
County Sales/Use Tax 100.217030
$5.40
$5.40
10/29/2014
$0.00
TOTAL FEES:
$100.80 $100.80
TOTAL BALANCE DUE AS OF 10/29/2014:
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.