HomeMy WebLinkAbout1211 City Park Ave - Permits/Reroof - 07/05/2018City of
F6rt Collins
/09'�
Site Address 1211 CITY PARK AVE
Job Valuation $20,000 00 Category Residential
Owner SMITH ROBERTA 1(50)
28879 COUNTY ROAD 53
GREELEY CO 80631
Zoning Front setback
Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 8o522
970 221 676o 970 224 6134 -fax
Building Permit # B1805236
Issued Full 07/06/2018
Permit Type Residential Roofing
Phone 970-396-0507
Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal Subdivision/PUD
Code Res sq ft Com sq ft
# of stones 1 Occ Group
Fire Sprklr Stock plan #
Contractor INDEPENDENT ROOFING INC
405 22ND ST f -\ !-I
GREELEY CO 806311
Filing # Lot # Block #
Ind sq ft Basement sq ft
Const Type
Stock plan options
License # R-294 Supervisor cert #
Phone 970-353-1389
Subcontractors)--___:1 1 Phone
Roofing INDEPENDENT R00F,IN15 INC 970-353-1389
L (o
Rear setback
License Number
7� -,,R-294--- >
Work Description Tear down to decking and re -roof 20 squares with Mala-rkey Legacy Class 4 impact resistant shing
water shield required Install per manufactures high wind specifications 1 story
nd
SCHEDULE INSPECTIONS *** By Phone 970-221-6769 *** By Web http //www fcgov com/CitizenAccess
***By Mobile Device http //www fcgov com/CitizenAccess/mobile
Possible InsDectlons Reaulred 410 409 111
TOTAL FEES PAID AS OF 07/05/18 $690.75 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 rfthe 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 1211 CITY PARK "E
Job Valuation $20,000 00 Category Residential
Method Check Number Date Paid Amount Paid
Trust Account 07/05/2018 $690 75
Receipt issued 07/05/2018 Total Paid to Date $690 75
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000 422010 $250 75
Subs
City Sales/Use Tax 251 122030 $385 00
County Sales/Use Tax 100 217030 $55 00
TOTAL FEES $690 75
{
TOTAL B
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Community Development & Neighborhood Services
281 N College Ave Fort Collins, CO 80522
970 221 676o 970 224 6134 -fax
Building Permit # B1805236
Issued Full 07/05/2018
Permit Type Residential Roofing
Comments
Amount Paid Date Paid
$250 75 07/05/2018
$385 00 07/05/2018
$55 00 07/05/2018
$690 75
Amount Due
$0 00
$0 00
$0 00
$0 00
XE DUE AS OF 07/05/2018 0 00
Fee Amounts are valid for date of this document only Fees subject to change without notice