HomeMy WebLinkAbout636 BLUE MOUNTAIN DR - PERMITS - 9/22/2011F6rtCollins
Site Address: 636 BLUE MOUNTAIN DR
Job Valuation: 2100.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit. #: B1107493
Issued Full: 00/22/2011
Permit Type: Residential Roofing
Owner: ROSELLES, READE
636 BLUE MOUNTAIN DR
FORT COLLINS, CO 8.0526-4128 Phone: 219-2254
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 M Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories. Occ Group: Const Type:
Fire Sprk r: Stock plan #: Stock plan options`.
Contractor: AFFORDABLE ROOFING1& RMDL License #: R-1859 Supervisor cert#:217 W TRILBY RDFORT COLLINS; C 525 ! \V17! Phone: 970-207-0000 -
Subcontracto �� n C�97TO--207-00007-,,
e License Number
Roofing. I, AFFORDABLE-ROOf1�,RMDL.1
Work Description: TEAR EL01A
PROVIDE ATTIC VENTILATION A,;
G;;AND'RER 2 -SQUARES WITH 30 YEAR COMPOSITION SHI
II ** SCHEDULE INSPECTIONS *** Bv_Phone: 221-6769 *** By Web: hftp://amos.fcaov.com/CitizenAccess ** III
Inspections: RF
TOTAL FEES PAID AS OF 09/22111: $87.33 Payment method: Trust Account
Fee Deaff D/s&yW on Next Page
As a condition for the issuance of a permit, I hereby declare that l 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 wifh such work I understand that such permit may be
revoked in the event that issuance was based on mooned information. This permit shag become null and void if the work authorized by such permit is not core woed,
suspended, abandoned or not inspected within 180 days from the date of such perrrit
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature. � -1 E Print Name:W\ k�� Date:
F6rt`lins
Site Address: 636 BLUE MOUNTAIN DR
Job Valuation: 2100.00. Category: Residential.
Transactions
Trust Account 09/22/2011
Receipt issued: 09/22/2011 Total Paid to Date:
Fee Description Account Code -
Building Permit Fee Without 1000.422010
Subs
City Sales/Use Tax 251.122030
County Sales/Use Tax 100.217030
Amount Paid Comments
$87.33 PAID BY AF'
$87.33
Development & Neighborhood Services
i N. College Ave Fort Collins, CO 8o522
97o.221.676o 970.224.6134 - f tc
Building Permit#: B1107493
Issued Full: 09/22/2011
Permit Type: Residential Roofing
TRUST
Fee Amount Amount Paid Date Paid
$38.50 $38.50 09/22/2011
$40.43 $40.43 09/22/2011
$8.40 $8.40 09/22/2011
TOTAL FEES: $87.33 $87.33
E�,, /i
+,'. aL�M... t
4I
6W
I
1:
Amount Due
- - $0.00
$0.00
$0.00
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.