HomeMy WebLinkAbout4242 Table Mountain Pl - Permits/Reroof - 11/06/2014City of Community Development & Neighborhood Services
Fort Collins ZSi N. College Ave Fort Collins, CO -fax
970.221.676o 970.224.6134 -.f�
Building Permit#: B1411512
Issued Full: 11/06/2014
Permit Type: Residential Roofing
Site Address: 4242 TABLE MOUNTAIN PL
Job Valuation: $2,000.00 Category: Residential
Owner: ANDERSON JAMIE LYNN
4242 TABLE MOUNTAIN PL
FORT COLLINS, CO 80526 Phone: 605-999-8774
Zoning: Front setback: Rear setback: 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: Basement sq ft:
# of stories: 1 Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: INTERSTATE ROOFING INC License #: R-1784 Supervisor cert#:
1050 W 47TH AVE
DENVER, CO 80211 Phone: 303-763-9114
Subcontractor (sl,—� �'Phone i , License Number
Roofing: I INTERSTATE -ROOFING INC f /'303-763-9114.— ❑ _ R-1784_.
Tear off down to deck and re -roof 20-s uares with.Owens Corning Duration shin les. Provide re uired attic
Work Description: q 9 9 q
ventilation. Ice and water guard required. Install shingles per manufacturer's high -wind specifications. 1 story. ,
Using exempt worker: Avalanche Quality8onstr cu tion_._.--
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 11/06/14: $110.75 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 desoibed 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: "rint Name: ; (p��. (, �(( it{ Date: l ( 6 - I' 4
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 4242 TABLE MOUNTAIN PL
Job Valuation: $2,000.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1411512
Issued Full: 11/06/2014
Permit Type: Residential Roofing
Transactions
Method Check
Trust Account
Number Date Paid
11/06/2014
Amount Paid
$110.75
Comments
Receipt issued: 11/06/2014 Total Paid to Date: $110.75
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid Amount Due
Building Permit Fee Without
1000.422010
$66.25
$66.25
11/06/2014 $0.00
Subs
City Sales/Use Tax
251.122030
$38.50
$38.50
11/06/2014 $0.00
County Sales/Use Tax
100.217030
$6.00
$6.00
11/06/2014 $0.00
TOTAL FEES:
$110.76
$110.75
$0.00
----
TOTAL BALANCE DUE AS
OF 11/06/2014: 0.00
j
Ll
Fee Amounts are valid for date of this document only. Fees subject to change without notice.