HomeMy WebLinkAbout756 Eastdale Dr - Permits/Reroof - 06/01/2015city of
F6rt Collins
Site Address: 756 EASTDALE DR
I1 Job Valuation: $2,200.00 Category: Residential
Owner: BLACKBURN THOMAS R
756 EASTDALE DR
FORT COLLINS, CO 80524-3427
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1504080
Issued Full: 06/01/2016
Permit Type: Residential Roofing
Phone: 970-484-3895
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD: Filing M Lot #: Block #:
Code: Res sq ft: Corn sq ft: Ind sq ft: Basement sq ft:
# of stories: 1 Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: SCHROEDER ROOFING COMPANY
1300 N MONROE
LOVELAND, CO 80537
Subcontractor(s)
Roofing: SCHROEDER ROOFING COMPANY
Const Type: _
Stock plan options:
License #: R-1408 Supervisor cert#:
Phone: 970-667-6777
Phone License Number
970-667-6777 R-1408_ -
I,
f
Work Description: Tear off existing shingles to decking and re -roof with 22 squares of shingles -Provide required attic -
ventilation -Install required ice & water shield -Install shingles per manufacturer's high -wind specifications-1 story- Using Exempt"` ,,
Workers; G & G Inc.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess II
***Bv Mobile Device: httora ://www.fCOOV.COM/Citi7pnArrws/mnhile
Illnsoections: RF II
TOTAL FEES PAID AS OF 06/01/15: $126.00 Payment method: Trust Account
*' Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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
F6rt Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1504080
Issued Full: 06/01/2016
Permit Type: Residential Roofing
Site Address: 756 EASTDALE DR
Job Valuation: $2,200.00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Trust Account 06/01/2015
$126.00
Receipt issued: 06/01/2015 Total Paid to Date:
$126.00
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$76.50
$76.50
06/01/2015
$0.00
Subs
City Sales/Use Tax 251.122030
$42.35
$42.35
06/01/2015
$0.00
County Sales/Use Tax 100.217030
$7.15
$7.15
06/01/2015
$0.00
TOTAL FEES: $126.00 $126.00 $0.00
_. TOTAL BALANCE DUE AS -OF 06/01/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.