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HomeMy WebLinkAbout212 Park St - Permits/Reroof - 10/25/2018�ot t Collins Site Address: 212 PARK ST Job Valuation: $2,500.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1809309 Issued Full: 10/26/2018 Permit Type: Residential Roofing Owner: DAWSON RUSSELL S/REBECCA L 212 PARK ST FORT COLLINS, CO 80521-1892 Phone: 970-224-1819 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY 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: ELITE ROOFING SERVICES, LLC License #: R-2334+ Supervisor cert#: 4424 Hummingbird Dr. Fort Collins, CO 80526 Phone: 970-658-0589 Subcontractors) = PKone j License Number Roofing: i t ELITE ROOFING SERVIC_ ES, LL970-658-0589_ ._� j ! j R-2334 ___ Work Description: Tear off existing shingles and re -roof 25 squares with shingles. Provide required attic ventilation. Installzreguired ice and water shield. Install shingles per manufacturers -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 ***B Mobile Device: htt ://www.fc ov.com/CitizenAccess/mobile Possible Inspections Required: 410 409 TOTAL FEES PAID AS OF 10/25118: $131.50 Payment method: Credit Card 3895 `• 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 perfoim 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: Piint Name: W1V `V D y Date: (02 S l 9 Form Revised Oct 2010 art Collins Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -fax Building Permit #: B1809309 Issued Full: 10/26/2018 Permit Type: Residential Roofing Site Address: 212 PARK ST Job Valuation: $2,500.00 Category: Residential Transactions Method Check Number Date Paid Credit Card CK# 3895 10/25/2018 Receipt issued: 10/25/2018 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 $131.50 $131.50 Fee Amount Amount Paid Date Paid $76.50 $76.50 10/25/2018 $48.12 $48.12 10/25/2018 $6.88 $6.88 10/25/2018 $131.50 $131.60 Amount Due $0.00 $0.00 $0.00 $0.00 TOTAL BALANCE DUE AS_ i F 10/25/2018: 0.00 11II � Fee Amounts are valid for date of this document only. Fees subject to change without notice.