HomeMy WebLinkAbout5214 Fox Hills Dr - Permits/Reroof - 10/13/2014F___t Collins
Site Address: 5214 FOX HILLS DR
Job Valuation: $5,300.00 Category: Residential
Owner: IZARD ROBERT L/IRENA M
5214 FOX HILLS DR
FORT COLLINS, CO 80526
Zoning: Frontsetback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1409850
Issued Full: 10/13/2014
Permit Type: Residential Roofing
Phone: 970-420-9441
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: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PREMIER ROOFING COMPANY
3201 E. Mulberry St. Ste B
Fort Collins, CO 80524
Subcontractorfsl ,_1
Roofing: ! PREMIER RO.OFING_COMPANY
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Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License M R-2189 Supervisor cert #:
Phone: 970-484-7663
-'Phone
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r� //_' 970-'484-7663-_ � [J
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License Number
R-2189--,
Work DescriDtion: Tear off down to deck and re -roof 53-squ ra es with -GAF shingles. Provide required attic ventilation. -Ice and
water guard required. Install shingles per man ufacturer-s-fiigh-wind-specifications. 2 story.
Using exempt worker:ARDON 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 10/13/14: $225.17 Payment method: Credit Card 6140
*` 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:Fj,/?� Date:
Forth Revised Oct 2010
�,Fo�r�t Collins
Site Address: 5214 FOX HILLS DR
Job Valuation: $5,300.00 Category: Residential
Transactions
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1409850
Issued Full: 10/13/2014
Permit Type: Residential Roofing
Credit Card CK# 6140 10/13/2014
$225.17
Matthew Staulker Premier Roofing
Receipt issued: 10/13/2014 Total Paid to Date:
$225.17
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$107.25
$107.25
10/13/2014
$0.00
Subs
City Sales/Use Tax 251,122030
$102.02
$102.02
10/13/2014
$0.00
County Sales/Use Tax 100.217030
$15.90
$15.90
10/13/2014
$0.00
TOTAL FEES:
$225.17
TOTAL BALAN
$225.17
$0.00
CE DUE AS OF 10/13/2014: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.
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