HomeMy WebLinkAbout838 ROMA VALLEY DR - PERMITS - 8/2/2011City of
F6rt Collins
/14*00
Site Address: 838 ROMA VALLEY DR
Job Valuation: $3,900.00 Category: Residential
Owner: JOHNSON, ROGER W
838 ROMA VALLEY DR
FORT COLLINS, CO 80525
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1104191
Issued Full: 08/02/2011
Permit Type: Residential Roofing
Phone: 970-207-1264
Rear setback: Right setback: Left setback:
Minor Amend #: 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 #:
Contractor: SLAUGHTER ROOFING CO
2120 CLUBHOUSE DR ,
GREELEY, CO i80634 ! j
7_-�i
Subcontractor(sl
Roofing: SLAU(
Work Description: TEAR
SHINGLES OF 39 SQ. PROVII
-ITER_ROOFING CO
c�
FF SHINGLES TO THE DE(
E,REQUIRED ATTIC7VENTI
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: R-1703 Supervisor cert #:
l Phone: 970-330-7881
i'Phone License Number
�970-330=7881 R-1703
LND INSTALL BASE FELT PAPER_ DRIP EDGE, DIMENSIONAL
TOTAL FEES PAID AS OF 08/02/11: $135.18 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 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: SHIP'D AUG 3 201, Print Name: Coo Date:
Form Revised Oct 2010
City of
F6rt Collins
Site Address: 838 ROMA VALLEY DR
Job Valuation: $3,900.00 Category: Residential
Transactions
Trust Account 08/02/2011 $135.18
Receipt issued: 08/02/2011 Total Paid to Date: $135.18
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $44.50
Subs
City Sales/Use Tax 251.122030 $75.08
County Sales/Use Tax 100.217030 $15.60
TOTAL FEES: $135:18
/
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6154 -fax
Building Permit #: B1104191
Issued Full: 08/02/2011
Permit Type: Residential Roofing
Comments
SLAUGHTER TRUST ACCT
Amount Paid Date Paid Amount Due
$44.50 08/02/2011 $0.00
$75.08 08/02/2011
$15.60 08/02/2011
$135.18
$0.00
$0.00
$0.00
.E DUE AS OF 08/02/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010