HomeMy WebLinkAbout625 Marigold Ln - Permits/Reroof - 08/06/2015�----`� c° Community Development & Neighborhood Services
��� ®� 281 N. College Ave Fort Collins, CO 80522
F6rt COl l i n S 97o.221.676o 970.224.6134 -fax
Building Permit #: B1505939
Issued Full: 08/06/2016
Permit Type: Residential Roofing
Site Address: 625 MARIGOLD LN
Job Valuation: $1,600.00 Category: Residential
Owner: MILLER RICKEY J
407 CLEARWATER
CHAMPAIGN, IL 61822 Phone: 970-567-3804
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: THIESSEN CONSTRUCTION & ROOFING, INC License #: B-459 Supervisor cert#:
8200 S Quebec St A3-502
Centennial, CO 80112 Phone: 970-667-1419
! Subcontractor(s) Phone License Number
Work Description: Tear off existing shingles to decking and. re -roof with 16 squares of Asphalt shingles. Provide required attic
ventilation. Ice and water shield required. Install per. manufactures high wind specifications. Uses own employees. 1 story access.
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Illnsoections: RF II
TOTAL FEES PAID AS OF 08/06/15: $91.25 Payment method: Check 1259
" 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.
SignatPrint Name: S./jJ/YJ/ Date:
Form Revised Oct 2010
Frti Collins
Community Development &Neighborhood Services
281 N. College Ave Tort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1505939
Issued Full: 08/06/2015
Permit Type: Residential Roofing
Site Address: 625 MARIGOLD LN
Job Valuation: $1,600.00 Category: Residential
Transactions
Method Check Number Date Paid Amount
Paid
Comments
Check CK# 1259 08/06/2015
$91.25
Pay by RSH Consulting check # 1259
Receipt issued: 08/06/2015 Total Paid to Date:
$91.25
Fee Description Account Code Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$55.25
$55.25
08/06/2015
$0.00
Subs
City Sales/Use Tax 251.122030
$30.80
$30.80
08/06/2015
$0.00
County Sales/Use Tax 100.217030
$5.20
$5.20
08/06/2015
$0.00
j TOTAL FEES:
$91.25
$91.25
$0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.