HomeMy WebLinkAbout3115 Chase Dr - Permits/Reroof - 11/19/2014City of
Fart Collins
Site Address: 3115 CHASE DR, A
Job Valuation: $2,100.00 Category: Residential
Owner: FORT COLLINS HABITAT FOR HUMANITY INC
4001 S TAFT HILL RD
FORT COLLINS, CO 80524
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1411909
Issued Full: 11/19/2014
Permit Type: Residential Roofing
Phone: 970-581-7337
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: LMN - LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: JERRYS ROOFING
115 E2NDST
LOVELAND, CO 80537
Subcontractor,(sj_____«
Roofing: JERRYS ROOFING
f ; 1
Const Type: _
Stock plan options:
License M R-1973 Supervisor cart#:
Phone: 970-667-1269
Phone License Number
970-667-1269 R-1973- -
Work DescrlDtion: Tear off down to deck and re -roof 21- squares with-30-year impact resistant shingles. Pro vide"required attic
ventilation. Ice and water guard required. Install shingles per manufacturers high -wind specifications. 1 story.
Exempt worker: F & G ROOFING &-CONSTRUCTION, INC:
II SCHEDULE INSPECTIONS: ***'By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess III
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
TOTAL FEES PAID AS OF 11/19114: $123.23 Payment method: Check 3376
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 assodated 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: ti`tYpiYi i j Print Name:,A (g x CN T I ('A � l\ Date: I L— 1 GI t 114
Form Revised Oct 2010
�I��O1 Community Deuelopment&Neighborhood Services
� 28i N. College Ave Fort Collins,CO So522
■
FO�� �O��I�S 97o.22i.6�6o 9�0.224.6i34 -fax
Building Permit#: B1411909
Issued Full: 11/19/2014
Permit Type: Residential Roofing
Site Address: 3115 CHASE DR,A �
Job Valuation: 2 100.00 Category: Residential
Transactions
Met od Check Number Date Paid Amount Paid Comments
Check CK#3376 11/19/2014 $123.23
Receipt issued: 11/19/2014 Total Paid to Date: $12323
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $76.50 $76.50 11/19/2014 $0.00
Subs
City Sales/Use Tax 251.122030 $40.43 $40.43 11/19/2014 $0.00
County Sales/Use Tax 100.217030 $6.30 $6.30 11/19/2014 $0.00
TOTAL FEES: $123.23 $123.23 $0.00
TOTAL BALANCE DUE AS OF 11/19/2014: 0.00
�
Fee Amounts are valid for date of this document only.Fees subject to change without notice.
Fortn Revised Oct 2070