HomeMy WebLinkAbout4920 Mcmurry Ave - Permits/Reroof - 11/17/2014 (8)of
F6rtCollins
Site Address: 4920 MCMURRY AVE, E
Job Valuation: $3,000.00 Category: Residential
Owner: SIEFKEN JAMES P/PATRICIAANN
PO BOX 271155
FORT COLLINS, CO 80527
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:
Building Permit #: B1411015
Issued Full: 11/17/2014
Permit Type: Residential Roofing
Zoning: Frontsetback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: HC - HARMONY CORRIDOR DISTRICT
Legal: Subdivision/PUD: Filing#: Lot#: Block#:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq it:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: GOLD ROOFING INC License #: R-1357 Supervisor cert#:
1424 E. EISENHOWER BLVD
LOVELAND, CO 80537 Phone: 970-593-3080
Subcontractorisl--- Phone License Number
Roofing: GOLD ROOFING INC,. 970-593-3080 - i - . - -R; 135T
i
Work Descriotion: Tear off 1 laver of shingles to deckina and re -roof with 1 laver of 50 squares of dimensional shmales.. Provide
required attic ventilation. Ice and,water shield required. Install per manufactures high wind specifications. Uses own employees -I,
story
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
TOTAL FEES PAID AS OF 11125114: $143,25 Payment method: Trust Account
" Fee Detail Displayed on Next Page
Asa condition for the issuance of a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed workon 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:
Form Revised Oct 2010
of
F6rtCollins
Site Address: 4920 MCMURRY AVE. E
Job Valuation: $3,000.00 Category: Residential
Transactions
Trust Account
11/17/2014
$208.25
Trust Account
11/25/2014
$143.25
Trust Account
11/25/2014
-$208.25
Receipt issued: 11/26/2014 Total Paid to Date:
$143.25
Fee Description
Account Code
Fee Amount
Building Permit Fee Without
1000.422010
$97.00
Subs
Building Permit Fee Without
1000.422010
-$20.50
Subs
City Sales/Use Tax
251.122030
-$38.50
City Sales/Use Tax
251.122030
$96.25
County Sales/Use Tax
100.217030
-$6.00
County Sales/Use Tax-
100.217030
$15.00
TOTAL FEES: $143.26
TOTAL BALANCE DUE AS OF 11/25/2014:
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1411015
Issued Full: 11/17/2014
Permit Type: Residential Roofing
Amount Paid Date Paid Amount Due
$194.00 11/25/2014-$97.00
-$20.50
-$38.50
$192.50
-$6.00
$30.00
11/25/2014
11/25/2014
11/25/2014
11/25/2014
11/25/2014
;$351.50,
$0.00
$0.00
-$96.25
$0.00
-$15.00
$208.25
0. 00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.