HomeMy WebLinkAbout1765 Concord Dr - Permits/Reroof - 02/16/2017�F�ort Collins
Site Address: 1766 CONCORD DR
Job Valuation: $1,952.00 Category: Residential
Owner: GROTENHUIS JUDITH ANN
1765 CONCORD DR
FORT COLLINS, CO 80526-1601
Zoning: Front setback:
Community Development&Neighborhood Services
28z N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1700759
Issued Full: 02/16/2017
Permit Type: Residential Roofing
Phone: 970-484-4680
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID:
Code: Res sq ft:
# of stories
Fire Sprklr:
Rear setback:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: AFFORDABLE ROOFING 8 RMDL
217 W TRILBY RD fl
FORT COLLINS, CO 80525
License #: R-1859 Supervisor cert#: 2432-R
Phone:970-207-0000
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isition
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 11
TOTAL FEES PAID AS OF 02/16/17: $110.17 Payment method: Trust Account
** Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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 201
ar0,
t Collins
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1700759
Issued Full: 02/16/2017
Permit Type: Residential Roofing
Site Address: 1765 CONCORD DR
Job Valuation: $1,952.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 02/16/2017
Receipt issued: 02/16/2017 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
Amount Paid
$110.17
$110.17
Fee Amount Amount Paid Date Paid
$66.25 $66.25 02/16/2017
$37.58 $37.58 02/16/2017
$6.34 $6.34 02/16/2017
TOTAL FEES: $110.17
O O CO)
OTAL.B
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$110.17
Amount Due
$0.00
$0.00
$0.00
$0.00
,NCE DUE AS OF-02116/2017: 0.00
O
Fee Amounts are valid for date of this document only. Fees subject to change without notice.