HomeMy WebLinkAbout810 E MYRTLE ST - PERMITS - 9/10/2009 (2)City of
F6rt Collins
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Site Address: 810E MYRTLE ST
Job Valuation: $200.00 Category: Residential
Owner: GEBHARDT, KAREN
810 E MYRTLE ST
FORT COLLINS, CO 80524
Zoning: Front setback: Rear setback:
Zoning district: NCM Plat File #:
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Stock plan #:
Contractor:
Subcontractor(s)
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-0580
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT #: B0905531
Issued Full: 09/10/2009
Permit Type: Residential Roofing
Phone: 970-691-2802
Right setback: Left setback:
ZBA Case #: Minor Amend #:
Filing #: Lot #: Block #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan options:
License #: Supervisor cert #:
Phone:
License Number
l
J%
Work Description: TEAR OFF EXISTING SHINGLES TO -DECKING ON DETACHED GARAGE, REROOF.WITH 30#
FELT AND APPROX. 2 SQUARES OF DIMENSIONAL SHINGLES --HOMEOWNER AFFIDAVIT ON FILE -
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://aaweb.fcgov.com/CitizenAccess**
Inspections: RF
TOTAL FEES PAID AS OF 09/10/09 $18.80 Payment method: Check 9221
" 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 if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Signature: 0 CA, Print Name:%0jy "1 Date:
Form Revised Oct 2008
of
Fort` Collins
Site Address: 810E MYRTLE ST
Job Valuation: $200.00 Category: Residential
Transactions
Method Check Number Date Paid
Check CK # 9221 09/10/2009
Receipt issued: 09/10/2009 Total Paid to Date
Fee Description Account Code
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
TOTAL FEES:
Neighborhood & Building Services
281 N. College Ave. Fort Collins, CO 80522-058o
Phone:970-221-676o Fax:970-224-6134
BUILDING PERMIT M B0905531
Issued Full: 09/10/2009
Permit Type: Residential Roofing
Amount Paid Comments
$18.80 MICHAEL GEBHARDT CK#9221
$18.80
Fee Amount Amount Paid Date Paid Amount Due
$15.00 $15.00 09/10/2009 $0.00
$3.00 $3.00 09/10/2009
$0.80 $0.80 09/10/2009
$18.80 $18.80
$0.00
$0.00
$0.00
TOTAL.BALANCE DUE AS OF;09/10/2009: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.