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Home My WebLink About1418 CENTENNIAL RD - PERMITS - 4/19/2010ty Forollins`it C Site Address 1418 CENTENNIAL RD Job Valuation $1,80000 Category Residential Owner BADER RICHARD L TRUST 1418 CENTENNIAL RD FORT COLLINS CO 80525 2315 Zoning Front setback Rear setback Zoning district RL Plat File # Legal Subdivision/PUD Code Res sq ft # of stories Fire Sprinkler Community Development & Neighborhood Services 281 N College Ave Fort Collms CO 80522 970 221 6760 970 224 6134 fax BUILDING PERMIT # B1002128 Issued Full 04/19/2010 Permit Type Residential Roofing Phone 223 5076 _ Right setback Left setback ZBA Case # Minor Amend # Filing # Lot # Block # Com sq ft Ind sq ft Occ Group Const Type Stock plan # Stock plan options Basement sq ft Contractor PREMIER SIDING & ROOFING License # R 1423 4865 PATMORE ASH � J Phone 970 222 3022 LOVELAND CO 80538 Subcontractor-(s)—= �-�Li �� a Phon Roofing PREMIER SIDING & rROOFIN 970-222 co) V�✓\ Work Description ROOFING PROVIDE C AN Supervisor cert # SQUARES ROOFING BY License Number R 1423 11 SCHEDULE INSPECTIONS '*' By Phone 221-6769 " By Web http //aaweb fcgov com/CitizenAccess" III IlInspections RF 11 TOTAL FEES PAID AS OF 04/19/10 63 70 Payment method Check 2733 Fee Detail Displayed on Next Page Asa condition for the issuance of a pemnl, I hereby declare that I am ft owneror owner's agent, author¢Ed to perform the proposed wok on dhe property described herein I agree to comply with all the requvemerils carrtamed herein and City ordnanoes and State laws assooated with such work I understand that sudi penmt may be revoked in the event that issuance was based on ncwW rMamation This pernut shall became null and void d the work auttior¢ed by such pemit is not cornumenced susperded abandoned or not inspected wittmh 180 days from the date of such permit. Signature Z64!t �;Z Print Name /�a�i` W ,� � Date Cl6lGf " lC� Form Revised Oct 2008 �,.F�cort Collins Site Address 1418 CENTENNIAL RD Job Valuation $1,800 00 Category Residential Trancactinnc Community Development & Neighborhood Services 281 N College Ave Fort Collins C080522 970 221 676o 970 224 6134 fax BUILDING PERMIT # B1002128 Issued Full 04/19/2010 Permit Type Residential Roofing Method Check Number Date Paid Amount Paid Comments Check CK # 2733 04/19/2010 $63 70 BADER CK# 2733 Receipt issued 04/19/2010 Total Paid to Date $63 70 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000 422010 $29 50 $29 50 04/19/2010 $0 00 Subs City Sales/Use Tax 251 122030 $27 00 $27 00 04/19/2010 $0 00 County Sales/Use Tax 100 217030 $7 20 $7 20 04/19/2010 $0 00 TOTAL IFEES $63 70 L1 W OCDT�TCALB 7�p (0 r $63 70 $0 00 NICE DUE AS OF 04/19/2010 0 00