HomeMy WebLinkAbout411 E LAUREL ST - PERMITS - 8/24/2011F6rtTy ids
Site Address: 411 E LAUREL ST
Job Valuation: 1 500.00 Category: Residential
Owner: MOSNIK, DAVID V/LOUISE Z
411 E LAUREL ST
FORT COLLINS, CO 80524-3153
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 97o.224.6134 -fax
Building Permit #: 131105556
Issued Full: W2412011
Phone: 221-2093
Permit Type: Residential Roofing
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM -. NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: FM ROOFING ,� r License # R-400 Supervisor cart #:
1629 S. L_EMAY AVE
FORT COLLINSi CO 80525 �' _� tr �' Phone: 970-221-1388
Subcontractors --I
l � "Rhone License Number
Roofing: FM ROOFING 7 9704ZI1 1388 � _R-400
N F
. R �
i
AND REPLACED SQS WLTWASPHALT SHINGLES. PROVIDE
TOTAL FEES PAID AS OF 08124/11: S59.88 Payment method: Check 9521
"Fee Dfa11 Displayed on Next Page
Asa condgim for the isavarroe of a perrnft, I hereby declare to l am the owneror owner's agent; auCra¢ed to perlbrm the proposed work on the p►o xrty desmibed herein.
I ague to dornpy with all the morernents oontained herein, and City ordinanoe% and State laws assodated vA such work I understand that such permit may be
revoked in the event that immos was based on howect inforamdon. This permit shag become null and void Ifthe work aulhateed by such permit is riot =nffared,
suspended, abandoned or not ir>speraed within 180 daysfmm the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature:jj(6Mnt Name. IhJ L' 1�jo� Date:
Form Revised Oct 2010
GrtF6Collins
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Site Address: 411 E LAUREL ST
Job Valuation: $1,500.00 Category: Residential
Transactions
Check CK # 9521 08/24/2011 $59.88
Receipt Issued: 08/24/2011 Total Paid to Date: $59.88
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $25.00
Subs
City Sales/Use Tax 251.122030 $28.88
County Sales/Use Tax 100.217030 $6.00
Development & Neighborhood Services
z N. CollegeAve Fort Collins, CO 80522
97o.221.676o 97o.224.6i34 -fax
Building Permit#. 01105556
Issued Full: 08/2412011
Permit Type: Residential Roofing
Comments
FM ROOFING CK#9521
Amount Paid Date Paid
$25.00 08/242011
$28.88 08/24/2011
$6.00 08/24/2011
TOTAL. FEES: $59.88 $5928
r r� �-
FE
r,
CI
Amount Due
$0.00
$0.00
$0.00
$0.00
BALANCE DUE AS . F 08MA12011: LOOK
i
of
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form PAVI ed Oct 2010