HomeMy WebLinkAbout419 E DRAKE RD - PERMITS - 7/7/2010 (2)of
Ft Collins
Site Address 419 E DRAKE RD
Job Valuation $8,400 00 Category Nursing/Retirement Home
Owner CRABTREE VIRGINIA
419 E DRAKE RD UNIT F2
FORT COLLINS CO 80525
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
97o 221 676o 97o 224 6134 fax
Building Permit # B1004267
Issued Full 07/07/2010
Permit Type Commercial Roofing
Phone 970-672 3421
Zoning Front setback Rear setback Right setback Left setback
Minor Amend # Plat File # ZBA Case #
Zoning district MMN MEDIUM DENSITY MIXED USE NEIGHBORHOOD DISTRICT
Legal Subdivision/PUD
Code Res sq ft 0 Com sq ft
# of stones Occ Group
Fire Sprklr Stock plan #
Filing # Lot # Block #
Ind sq ft
Const Type _
Stock plan options
Contractor DIAMOND ROOFING ❑ License # R 1881 Supervisor cert #
4517 HILBURN CT
FORT COLLINS C80526 Phone 970 204 1986 ,
Subcontractors CD Phone 4 = ® License Number
Job Contact ANDREA-CHAVEZ 970 204 0=
[r
Work Description TI
ROOFING TO INSTALL
Basement sq ft
84 SQ OF 30 YR ASPHALT
"SCHEDULE INSPECTIONS " By Phone 221-6769 " By Web http //aaweb fcgov com/CitizenAccess`*
Inspections RF
TOTAL FEES PAID AS OF 07/07/10 23410 Payment method Trust Account
Fee Detail Displayed on Next Page
As a con f hon for the issuance of a perrK I hereby dedare that I am the owners owners agent, authormed to perform the proposed work on the property desumed herein
I agree to comply with as Be requuernerits contained herein and City ordirenoes and State laws associated with such work I understand that such permit may be
revoked m the event that issuance was based on ine rrect udonnation This permit shall become null and void if the work authar¢ed by such permit is not commenced
suspended abandoned or not inspected within 180 days from the date of such pemM
Signature Print Name Prd red 6w 7—Date (b 4 O
r=
Form Revised May 2010
$23410
Amount Due
$0 00
$0 00
$0 00
$0 00
F,rt of
Community Development & Neighborhood Services
281 N College Ave Fort Collins CO 80522
97o 221 676o 97o 224 6134 -fax
Site Address 419 E DRAKE RD
Job Valuation $8,400 00 Category Nursing/Rebrement Home
Transactions
Method Check Number Date Paid
Trust Account 07/07/2010
Receipt issued 07/07/2010 Total Paid to Date
Fee Description Account Code
Budding Permit Fee Without 1000 422010
Subs
City Sales/Use Tax 251 122030
County Sales/Use Tax 100 217030
Building Permit # B1004267
Issued Full 07/07/2010
Permit Type Commercial Roofing
Amount Paid
Comments
$23410
DIAMOND TRUST
$23410
Fee Amount
Amount Paid
Date Paid
$74 50
$74 50
07/07/2010
$126 00
$126 00
07/07/2010
$33 60
$33 60
07/07/2010
TOTAL FEES $23410
17 C�r�:�Ml
/ TOTAL-B
U
1