HomeMy WebLinkAbout3221 Burning Bush Ct - Permits/Reroof - 01/04/2019Community Development & Neighborhood Services
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281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900076
Issued Full: 01/04/2019
Permit Type: Residential Roofing
Site Address: 3221 BURNING BUSH CT
Job Valuation: $2,562.00 Category: Residential
Owner: ANDERSON MARK J/MEGAN JARDINA
3221 BURNING BUSH CT
FORT COLLINS, CO 80521 Phone: 847-476-1861
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 2 Block M
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: MILE HIGH RESTORATION, INC. License M R-2421 Supervisor cartM
6050 W 10th Street
GREELEY, CO 80634 Phone: 970400-7663
Subcontractor(§F-'- ; r -"Phone j j License Number
Roofing: MILE HIGH RESTORATION, INC' ` ,-' 970 400-7663 R-2421
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Work Description: Tear off existing shingles and re -roof 25.62•squares. Provide required attic ventilation. Install required=ice and
watershield. Install shingles perm_anufacturer's high -wind specifications: 2 Stories. License holder to do thework. .�
SCHEDULE INSPECTIONS: ** Text Message: 888-406-6394 ** Website: http://www.fcgov.com/CitizenAccess
** Phone: 970-221-6769 **Mobile Website: http://www.fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 410 409 11
TOTAL FEES PAID AS OF 01/04/19: $136.07 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 owner's 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
F&tCollins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1900076
Issued Full: 01/04/2019
Permit Type: Residential Roofing
Site Address: 3221 BURNING BUSH CT
Job Valuation: $2,562.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 01/04/2019
Receipt issued: 01/04/2019 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 Comments
$136.07
$136.07
Fee Amount Amount Paid Date Paid
$76.50 $76.50 01/04/2019
FL
i
$49.32 $49.32 01/04/2019
$10.25 $10.25 01/04/2019
$136.07 $136.07
Amount Due
$0.00
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS -OF 01/0412019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.