HomeMy WebLinkAbout925 ALEXA WAY - PERMITS - 6/21/2011City of
F6rt Collins
/1000�
Site Address: 925 ALEXA WAY
Job Valuation: $4,500.00 Category: Residential
Owner: YOUNG, PETER M/PATRICIA A
925 ALEXA WAY
FORT COLLINS, CO 80526-4359
Zoning: Front setback:
Minor Amend #:
Rear setback:
Plat File M
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1102753
Issued Full: 06/21/2011
Permit Type: Residential Roofing
Phone: 970-495-0172
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 #:
Right setback: Left setback:
ZBA Case #:
Filing #: Lot #: Block #:
Ind sq ft:
Const Type:
Stock plan options:
Contractor: PREMIER SIDING&-ROOFI,NG Li#R-1423 Supervisor cart #:
4865 PATMORE,ASH , �, ; .- 'J L, License
LOVELAND, C6,,=t80538 i; Phone: 970-222-3022
Basement sq ft:
TOTAL FEES PAID AS OF 06/21/11: $155.13 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.
KI S/gnature: �' Print Name: C� �Date:
G Z/-D
Form Revised Oct 2010
City of
F6rt Collins
/010'�
Site Address: 925 ALEXA WAY
Job Valuation: $4,500.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Credit Card 06/21/2011 $155.13
Receipt issued: 06/21/2011 Total Paid to Date: $155.13
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $50.50
Subs
City Sales/Use Tax 251.122030 $86.63
County Sales/Use Tax 100.217030 $18.00
TOTAL FEES:
I I ! V/
i
F L
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1102753
Issued Full: 06/21/2011
Permit Type: Residential Roofing
Comments
PD WITH CREDIT CARD OF JEFFREY COLLINS
Amount Paid. Date Paid
$50.50 06/21/2011
$86.63 06/21/2011
$18.00 06/21/2011
$155.13 $155.13
Amount Due
$0.00
$0.00
$0.00
$0.00
►TAL-BALANCE DUE AS0F�06121/2011: 0.00