HomeMy WebLinkAbout619 W Lake St - Permits/Reroof - 07/25/2018FrfCollins
Site Address: 619 W LAKE ST
Job Valuation: $2,500.00 Category: Residential
Owner: Wade Pacheco
3450 Bale Dr
FORT COLLINS, CO 80526
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1806000
Issued Full: 07/25/2018
Permit Type:
Phone: 970-217-3928
Zoning: Front setback: Rear setback: Right setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: HMN - HIGH DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Corn sq ft:
# of stories: 1 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: CORE CONTRACTORS
4049 Saint Paul St
DENVER, CO 80216
Subcontractor(s)
Filing #: Lot #:
Ind sq ft: _
Const Type: _
Stock plan options:
License #: C2-120
Phone: 303-295-2220
Phone
Residential Roofing
Left setback:
Block #:
Basement sq ft:
Supervisor cert#:
License Number
Work Description: Tear off existing shingles and re -roof 25 squares with Owens Corning Duration shingles. Provide required attic
ventilation. Install required ice and water shield. Install shingles per manufacturer's high -wind specifications. 2 stories. License hold 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 07/25/18: $131.50 Payment method: Credit Card 4818
*' 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
�.,Fo��r't Collins
Site Address: 619 W LAKE ST
Job Valuation: $2,500.00 Category: Residential
Transactions
Method
Credit Card CK # 4818 07/25/2018 $131.50
Receipt issued: 07/25/2018 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
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1806000
Issued Full: 07/25/2018
Permit Type: Residential Roofing
Comments
Amount Paid
$76.50
Date Paid Amount Due
07/25/2018 $0.00
$48.12 07/25/2018
$6.88 07/25/2018
TOTAL FEES: $131.50 $131.50
TOTAL BALANCE DUE AS OF 07/25/2018:
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.