HomeMy WebLinkAbout112 N Grant Ave - Permits/Reroof - 06/10/2016.:.:.. ....
c0t'® ® Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
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Building Permit #: B1603168
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Issued Full: 06/10/2016
Permit Type: Residential Roofing
Site Address: 112 N GRANT AVE
Job Valuation: $5,000.00 Category: Residential
Owner: JEKEL MARK A/THERESA G
112 N GRANT AVE
FORT COLLINS, CO 80521-2565 Phone: 970-396-1389
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: INDEPENDENT ROOFING INC License #: R-294 Supervisor cert#:
405 22ND ST
GREELEY, CO 80631 Phone: 970-353-1389
Subcontractor(s) Phone License Number
Roofing: INDEPENDENT ROOFING INC .., 970-353-1389....., R-294
Work Description: Tear off to deck,- install drip edge, ice guard at eaves, 30 lb felt, valley tine, pipe jacks, roof vents, and.Owens
Corning Oakridge shingles. Using exempt - Montes Jr. Roofing EX-29(R)
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://www.fcgov.com/CitizenAccess
***Bv Mobile Device: httD://www.fcaov.com/CitizenAccess/mobile
11Inspections: RF 11
TOTAL FEES PAID AS OF 06/10/16: $209.50 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: Y '�C/ 'l/t= Date:
Form Revised Oct 2010
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Community Development & Neighborhood Services
F6rt Collins
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
/1000,
Building Permit #: B1603168
Issued Full: 06/10/2016
Permit Type: Residential Roofing
Site Address: 112 N GRANT AVE
Job Valuation: 5 000.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 06/10/2016
$209.50
Receipt issued: 06/10/2016 Total Paid to Date:
$209.50
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010
$97.00
$97.00 06/10/2016 $0.00
Subs
City Sales/Use Tax 251.122030
$96.25
$96.25 06/10/2016 $0.00
County Sales/Use Tax 100.217030
$16.25
$16.25 06/10/2016 $0.00
TOTAL FEES:
$209.50
$209.50 $0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
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