HomeMy WebLinkAbout1400 Centennial Rd - Permits/Reroof - 05/26/2015City of
Fort Collins
Site Address: 1400 CENTENNIAL RD
Job Valuation: $1,700.00 Category: Residential
Owner: VINTON LESLIE M CUSTODIAN FOR
2575 CUSTER DR
FORT COLLINS, CO 80525
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit#: B1503842
Issued Full: 05/26/2015
Permit Type: Residential Roofing
Phone: 970-482-0530
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: Corn sq ft:
Ind sq ft:
# of stories: 2 Occ Group:
Const Type:
Fire Sprklr: Stock plan #:
Stock plan options:
Contractor: WESTERS ROOFING INC
License #: R-1555
8513 S County Rd. 13
FORT COLLINS, CO 80525
Phone: 970-690-1845
Subcontractor(s).
Phone
Roofing: WESTERS ROOFING.INC
I
970-690-1845 -
Basement sq ft
Supervisor cert#:
License Number
R-1555 -
Work Description: Tear off existing shingles to decking and re -roof 17 squares with synthetic felt, laminate shingles. Provide
required attic ventilation. Ice and water shield required: Install per, manufactures high wind specifications. 2 story. Exempt Workers:
AJ Roofing
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RF
TOTAL FEES PAID AS OF 05126/15: $96.24 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:
Form Revised Oct 2010
�F`or�t of
Site Address: 1400 CENTENNIAL RD
Job Valuation: $1,700.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1503842
Issued Full: 05/26/2015
Permit Type: Residential Roofing
Method Check Number Date Paid
Amount Paid
Comments
Trust Account
05/26/2015
$96.24
Receipt issued: 05/26/2015 Total Paid to Date:
$96.24
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$58.00
$58.00
05/26/2015
$0.00
Subs
City Sales/Use Tax
251.122030
$32.72
$32.72
05/26/2015
$0.00
County Sales/Use Tax
100.217030
$5.52
$5.52
05/26/2015
$0.00
TOTAL FEES:
$96.24
$96.24
$0.00
TOTAL BALANCE DUE AS OF 05/26/2015:
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.