HomeMy WebLinkAbout1649 Independence Rd - Permits/Reroof - 09/13/2017F&tCollins
Site Address: 1649 INDEPENDENCE RD
Job Valuation: $2,500.00 Category: Residential
Owner: FISCHER MARY C
1649 INDEPENDENCE RD
FORT COLLINS, CO 80526
Zoning: Front setback:
Rear setback:
ty Development & Neighborhood Services
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1705466
Issued Full: 09/13/2017
Permit Type: Residential Roofing
Phone: 970-407-0663
Right setback: Left setback:
Minor Amend #: Plat Fite.#: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Contractor: PETERICH CUSTOM CONSTRUCTION
6005 BLUESPRUCE DR
BELLVUE, CO 80512
Subcontractorls) _
Roofing: I j PETERICH CUSTO
Filing #: Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: R-2432 Supervisor cert#:
Phone: 303-704-7366
Phone
M CONSTRUCTI 303704
Work Description: Tear off existing shingles down to deck
shield required. Install per manufactures high wind specifii
7366
�9 i L' �'�
License Number
R-2432„
-C
25 squan s. Provide required atticve——_ntilation cel `and water
rv. License holder to do the work.
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
Inspections: RF
TOTAL FEES PAID AS OF 09/13/17: $132.74 Payment method: Credit Card 023911
" 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: DU S �� A , "-"!zr jd Date: ICU -35:�'- S9J6
Fonn Revised Oct 2010
City Of Community Development & Neighborhood Services
Fort Collins 281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1705466
Issued Full: 09/13/2017
Permit Type: Residential Roofing
Site Address: 1649 INDEPENDENCE RD
Job Valuation: $2,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid Comments
Credit Card CK# 023911 09/13/2017 $132.74 Paid with cc Ref #02911
Receipt issued: 09/13/2017 Total Paid to Date: $132.74
Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $76.50 $76.50 09/13/2017 $0.00
Subs
City Sales/Use Tax 251.122030 $48.12 $48.12 09/13/2017 $0.00
County Sales/Use Tax 100.217030 $8.12 $8.12 09/13/2017 $0.00
TOTAL FEES: $132.74 $132.74 $0.00
TOTAL BALANCE DUE AS_OF 0 13/2017: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.