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Home My WebLink About421 N Roosevelt Ave - Permits/Reroof - 08/30/2016F___ I — ort Collins /1009� - Site Address: 421 N ROOSEVELT AVE Job Valuation: $1,700.00 Category: Residential Owner: BARTLETT GOLDIE 421 N ROOSEVELT AVE FORT COLLINS, CO 80521-1647 ty Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1605065 Issued Full: 08/30/2016 Permit Type: Residential Roofing Phone: 970-221-0183 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: 2 Occ Group: Const Type: Fire Sprklr: Stock plan #: Stock plan options: Contractor: ADVANCED ROOFING TECH License #: R-1161 Supervisor cert#: 4496 BENTS DR, ,UNIT C WINDSOR, CO 80550 Phone: 970-663-0203 Work Description: Tear off down to deck and re -roof 17 squares with Owens Corning tru Def shingles Storm Shingles: -Provide required attic ventilation. Install shingles per manufacturer's high -wind specifications. 2 story. Using exempt worker: Lunaz Roofing. Shingle a part of house only - NOTBACK.P_ORCHIOVERHANG:— 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 08/30/16: $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 Amount Due $0.00 $0.00 $0.00 $0.00 Site Address: 421 N ROOSEVELT AVE Job Valuation: $1,700.00 Category: Residential Transactions Method Check Number Date Paid Trust Account 08/30/2016 Receipt issued: 08/30/2016 Total Paid to Date Fee Description Account Code Building Permit Fee Without 1000.422010 Subs City Sales/Use Tax 251.122030 County Sales/Use Tax 100.217030 TOTAL FEES: Amount Paid $96.24 $96.24 Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Comments Building Permit #: B1605065 Issued Full: 08/30/2016 Permit Type: Residential Roofing Fee Amount Amount Paid Date Paid $58.00 $58.00 08/30/2016 $32.72 $32.72 08/30/2016 $5.52 $5.52 08/30/2016 $96.24 $96.24 Fee Amounts are valid for date of this document only. Fees subject to change without notice.