HomeMy WebLinkAbout808 E LAKE ST - PERMITS - 6/12/2013F6rt Collins
Site Address: 808 E LAKE ST
Job Valuation: $2,700.00 Category: Residential
Owner: BUSHNELL JUDITH ANN REVOCABLE
Community Development &r Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -fax
Building Permit #: B1302839
Issued Full: 06/12/2013
Permit Type: Residential Roofing
812 E LAKE ST
FORT COLLINS, CO 80524 Phone: 970-222-2890
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan #:
Filing #: Lot #: Block M
Ind sq ft: _
Const Type:
Stock plan options:
Contractor: AFFORDABLE ROOFING & RMDL
217 W TRILBY RD'
FORT COLLINS, CO 80525 \
Subcontracto , s)� �
Roofing: AFFORDABLE ROOFING & RMDL
V/
O
WO Description: Tear offt'deck_and replace 27 sqs with`,
Basement sq ft:
License #: R-1859 Supervisor cert#:
Phone: 970-207-0000
P_ hone
910=207=0000
O
Provide required attic
License Number
R-1859
[P ,S
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6764 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: RF
TOTAL FEES PAID AS OF 06/12/13: $136.58 Payment method: Credit Card
" 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: /r(0.e� �r^'t `+�\ Date:
Form Revised Oct 2010
city, of
Fort Collins
Site Address: 808 E LAKE ST
Job Valuation: $2,700.00 Category: Residential
Transactions
Credit Card 06/12/2013 $136.58
Receipt issued: 06/12/2013 Total Paid to Date: $136.58
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $51.98
County Sales/Use Tax 100.217030 $8.10_
TOTAL FEES:
$136.58
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6184-fax
Building Permit #: B1302839
Issued Full: 06/12/2013
Permit Type: Residential Roofing
Comments
Amy Jennings cc
Amount Paid Date Paid Amount Due
$76.50 06/12/2013 $0.00
TOTAL BALAN
$51.98 06/12/2013
$8.10 06/12/2013
$0.00
$0.00
$136.58 $0.00
CE DUE AS OF 06/12/2013: 0.00
D \� I I il S
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010