HomeMy WebLinkAbout4900 SAWHILL DR - PERMITS - 9/27/20116rtCity0fFCollins
Site Address: 4900 SAWHILL. DR
Job Valuation: $3,333.00 Category: Residential
Owner: BOXLEY, DONALD D
Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit#: B1107891
Issued Full: 09/27/2011
Permit Type: Residential Roofing
4900 SAWHILL DR
FORT COLLINS, CO 80528 Phone: 970-691-3047
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend * Plat. File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL 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: PREMIER ROOFING_COM , NY License #: R-2189 Supervisor cert#:
2570 W 8TH AVER' r� ;j
T7— --
DENVER, CO 80204 I j ( } + ( Phone: 303-233-7663
Subcontractorlsl __: 1 /� Phone License Number
Roofing: PREMIER
ROOFING COMPANY� / 303-233-7663 ^R-2189
Description: TE
INGLES. PROVIDE
ROOF
WITH 33.33 SOS OF
TOTAL FEES PAID AS OF 09/27111: S122.02 Payment method: Credit Card
"` Fee Dull Distol Won Next Page
Asa core ii0im forthe isstrroe of a permit, I hereby declare that I am tie owneror owners agerit auftrized to pefkxm the proposed wkxkon Use prrparty desaD)ed herah
I agree to comply with all the reWirerternls contatrred herein, and City ordirmoss, and Stab laws also .. with such work I urndesiand that such permit may be
revoked in the event that issuarce was based on moor infomrallm. This permit shall become mill and void if the work autamed by such permit is not oommemed,
suspended, abandoned or riot rttspected wilhin 180 daysfmm the date of such perry lL
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: Date:
Form Revised Oct 2010
City of
Fort Collins
Site Address: 4900_SAWHILL DR
Job Valuation: $3,333.00 Category: Residential
Development & Neighborhood Services
31 N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 -fax
Building Permit t B1107891
Issued Full: 09127/2011
Permit Type: Residential Roofing
Transactions
Check Number Date Paid Amount Paid Comments
Credit Card 09/27/2011 $122.02 PAID BY PATRICK GLEDHILL / PREMIER ROOFING
CREDIT CARD.
Recelpt Issued: 09127/2011 Total Paid to Date: $122.02
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due.
Building Permit Fee Without
1000.422010
$44.50
$44.50
09/27/2011
$0.00
Subs
-'
City Sales/Use Tax
251.122030
$64.18
$64.18
09/272011
$0.00
County Sales/Use Tax
I
100.217030
$13.34
$13.34
0927/2011
$0.00
TOTAL FEES:
$122.02
$0.00
y
i
_�$12Z02
H
�TOTAt:B ANCE DUE AS OF 09127/201 L• 0.00
f` (:: I
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct M10