HomeMy WebLinkAbout644 KIM DR - PERMITS - 9/19/2011Forte, Ty,�i`s
Site Address: 6" 14M DR
Job Valuation: $1,933.00 Category: Resideniai
Owner: LEWANDOWSKI, M RYAN
644 KIM DR
FORT COLLINS, CO 80525
Zoning: Front setback:
Rear setback:
Community Development dt Neighborhood Services
a81 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit #: B1107186
Issued Full: 09/19/2011
Permit Type: Residential Roofing
Phone: 970-98.8-0253
Right setback: Left setback:
Minor Amend M Plat File #: ZBA Case M
Zoning district: LMN -LOW DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr.
Filing #: Lot #: 6/ Block M
Com sq ft: Ind sq ft: Basement sq it:
Occ Group: Const Type:
Stock plan M Stock plan options:
Contractor: ASSURANCE ROOFING COMPANY
2308 CHANDLER ST r
FORT COLLINS,CO 80528 ( I
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Subcontract6r-(i
Roofing: ASSURANCE ROOFINGCOMPANY a
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Work Description:
PROVIDE REQUIRED)
License M R-2172 Supervisor cart #:
Phone: 970-797-2502
s
f
.2502
License Number
R-2172
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SCHEDULE INSPECTIONS "" By Phone: 221-6769 "' By Web: http://amos.fcgov.com/CttizenAccess_"'_
Ins ections: RF
TOTAL FEES PAID AS OF 09/19/11: $77.47 Payment method: Trust Account
"Fee Detail Displayed on Next Page
As a condition for the canoe cf a pemut, I hereby M I am the owneror owners agent, au ltiorized to perform the proposed workon the property described herein.
I agree tD aornply with all the requffernerds contained how, and City ordirrwm% and State lm assadaUed with such work I understand that such permti may be
revoked in the event that 'ssuarroe was based an incerrec3 infarrration This pemdt shall becane null and void if the work autharmed by such pemdt is Pat dortimermed,
sispended, aIorued or rot ir>spersed wmiin 18o daysfrom the date of such perm
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: N I. (/y► 45 W' e 14 Date: I
Form Revised Opt 2010 .
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Site Address: 6" 10M DR
Job Valuation: $1,933.001 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o622
97o-221.676o 97o.224.6134 -fax
Building Permit M B1107186
Issued Full: 09/19/2011
Permit Type: Residential Roofing
Trust Account 09/19/2011 $77A7 PAID BY ASSURANCE ROOFING TRUST ACCT.
Receipt issued: 09/19/2011 Total Paid to Date: $77.47
Fee Description Account Code Fee Amount Amount -Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010 $32.50 $32.50 09/19/2011 $0.00
Subs
City Sales/Use Tax 251.122030 $3723 $37.23 09/19/2011 $0.00
County Sales/Use Tax 100.217030 $7.74 $7.74 09/19,2011 $0.00
TOTAL FEES: $77.47 $77.47 $0.00
TOTAL BALANCE DUE AS -OF 09N9/2011: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.