HomeMy WebLinkAbout404 Lilac Ln - Permits/Reroof - 05/15/2019Fo�r't Collins
Site Address: 404 LILAC LN
Job Valuation: $1,800.00 Category: Residential
Owner: KEECH MELANIE
404 Lilac Dr
FORT COLLINS, CO 80524
Zoning: Frontsetback: Rear setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1903233
Issued Full: 05115/2019
Permit Type: Residential Roofing
Phone: 970-988-8112
Right setback: Left setback:
Minor Amend #: Plat File M ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD: Filing #:
Code: Res sq ft: Com sq ft: Ind sq ft: _
# of stories: Occ Group: Const Type: _
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: INDEPENDENT ROOFING INC
405 22ND ST
GREELEY, CO .80631
Subcontractor(s
Roofing: INDEPENDENT ROOFING INC
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License #: R-294
Phone: 970-353-1389
Lot #: Block #:
Basement sq ft:
Supervisor cert#:
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License Number
R 294 — _.,.
Work Description: Tear offecisting shingles and re -roof 18 squares with Owens Corning Duration Class 4 impact 6sisfant:asphalt
shingles. Provide required attic ventilation. Install-required"ice and water -shield. Install shingles per manufacturer's high -wind.,,
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specifications. 1 story. Mayitos roo\fing-t_o.dc-the ork.
IISCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769 II
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 410 409
TOTAL FEES PAID AS OF 05115/19: $102.60 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 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
�fCollins
Site Address: 404 LILAC LN
Job Valuation: $1,800.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 05/15/2019 $102.60
Receipt issued: 05/15/2019 Total Paid to Date: $102.60
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $60.75
Subs
City Sales/Use Tax 251.122030 $34.65
County Sales/Use Tax 100.217030 $7.20
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1903233
Issued Full: 06/1612019
Permit Type: Residential Roofing
Amount Paid Date Paid Amount Due
$60.75 05/15/2019 $0.00
$34.65 05/15/2019 $0.00
$7.20 05/15/2019 $0.00
TOTAL FEES: $102.60 $102.60 $0.00
TOTAL BALANCE DUE AS_OF 05/15/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.