HomeMy WebLinkAbout621 S WASHINGTON AVE - PERMITS - 9/5/2013F6rtCollins
Site Address: 621 S WASHINGTON AVE
Job Valuation: $1,100.00 Category: Residential
Owner: CEBULATRAVIS
14900 W 31ST AVE
GOLDEN, CO 80401
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1304702
Issued Full: 09/05/2013
Permit Type: Residential Roofing
Phone:303-278-1828
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCL - NEIGHBORHOOD CONSERVATION - LOW DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: ROCKY MOUNTAIN ROOFERS AND GUTTERS
458 SLINK LN
FORT COLLINS, CO 80524
bupcontractortsl
Roofing: ROCKY MOUNTAIN ROOFERS -AND
0 Fil !
Work Description: Tear off existing shingles and replace w
License #: R-1783 Supervisor cert #:
Phone: 970-224-1200
License Number
•1200 �� R-1783
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ventilation.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: RF
TOTAL FEES PAID AS OF 09/05/13: $41.50 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 owneror 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: (�-�ll lDate:
Fenn Revised Oct 2010
4111111111
FrfCollins
Site Address: 621 S WASHINGTON AVE
Job Valuation: $1,100.00 Category: Residential
Transactions
Trust Account 09/05/2013
Receipt issued: 09/05/2013 Total Paid to Date:
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
TOTAL FEES:
Amount Paid
$41.50
$41.50
28i N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1304702
Issued Full: 09/05/2013
Permit Type: Residential Roofing
Comments
Rocky Mountain trust
Fee Amount Amount Paid Date Paid Amount Due
$41.50 $41.50 09/05/2013 $0.00
$41.50 $41.50
TOTAL BALANCE DUE AS OF 09/05/2013:
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
$0.00
0.00
Form Revised Oct2010