HomeMy WebLinkAbout1642 Northbrook Dr - Permits/Reroof - 02/28/2018City of Community Development & Neighborhood Services
FortCollins 281N. College Ave Fort Collins, CO 805
970.221.676o 97o.22q.616i34 -fax
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Building Permit #: B1801183
Issued Full: 02/28/2018
Permit Type: Residential Roofing
Site Address: 1642 NORTHBROOK DR
Job Valuation: $2,500.00 Category: Residential
Owner: KEENAN THOMAS W/CECELIA L
1642 NORTHBROOK DR
FORT COLLINS, CO 80526 Phone: 970-232-9704
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: Corn sq ft: Ind sq ft: Basement sq it:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: PREMIER SIDING& ROOFING License #: R-1423 Supervisor cart#:
2063 VISTA DRIVE
LOVELAND, CO 80538 Phone: 970-222-3022
Subcontractor(s)___\ i'Phone ! License Number
Roofing: j PREMIER SIDING &_ROOFING �� �- '970-2223022___ --1 "R-1421
i
Work Description: Tear off 1 layer down to deck and re-roof-25—squares with-Tamko Heritage 30 year shingles. Provide required attic
ventilation. Ice and water shield required. Install per_manufactures.high wind specifications. 1 story. License holder to do the work.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 410 409
TOTAL FEES PAID AS OF 02/28/18: 131. 0 Payment method: Credit Card 7846
*` 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
of
City Collins
Site Address: 1642 NORTHBROOK DR
Job Valuation: $2,500.00 . Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card CK # 7846 02/26/2018 $131.50
Receipt issued: 02/28/2018 Total Paid to Date: $131.50
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $48.12
County Sales/Use Tax 100.217030 $6.88
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1801183
Issued Full: 02128/2018
Permit Type: Residential Roofing
Amount Paid Date Paid Amount Due
$76.50 02/26/2018 $0.00
$48.12 02/26/2018 $0.00
$6.88 02/26/2018 $0.00
TOTAL FEES: $131.60 $131.60
$0.00
TOTAL -BALANCE DUE AS- OF�02/28/2018: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.