HomeMy WebLinkAbout436 ALBION WAY - PERMITS - 10/7/2011,�of
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Site Address: 436 ALBION WAY
Job Valuation: $1,600.00 Category: Residential
Owner: BJORK, LEVI D
436 ALBION WAY
FORT COLLINS, CO 80526-3248
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:310-3151
Building Permit #: B1108506
Issued Full: 10/07/2011
Permit Type: Residential Roofing
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:
Code: Res sq ft: Com sq ft:
# of stories: Occ Group:
Fire Sprklr: Stock plan M
Contractor: ED'S ROOFING
513 N. SHIELDS ST
FORT COLLINS, CO 80521
Subcontractors)
Roofing: ED'S ROOFING
Filing #: Lot #: Block #:
Ind sq ft: Basement sq ft:
Const Type:
Stock plan options:
License #: R-1338 Supervisor cert#:
Phone:970-221-5684
Phone License Number
970-221-5684 R-1338 ._
Work Description: TEAR OFF EXISTING SHINGLES TO'DECKING,AND INSTALL 17 SQUARES OF NEW SHINGLES.
PROVIDE REQUIRED ATTIC VENTILATION. INSTALL SHINGLES -PER MANUFACTURER'S HIGH -WIND SPECIFICATIONS:*.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 10/07/11: $63.70 Payment method: Check
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owneror 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 with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: '�.� tl/ (.(/ Print Name: Date: AQ ,7 — / /
Form Revised Oct 2010
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t` Collins
Site Address: 436 ALBION WAY
Job Valuation: $1,600.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fix
Building Permit #: B1108506
Issued Full: 10/07/2011
Permit Type: Residential Roofing
Check
10/07/2011
$63.70
PAID BY ED WOOD ROOFING CH#2948
Receipt issued: 10/07/2011 Total Paid to Date:
$63.70
Fee Description
Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without
1000.422010
$26.50
$26.50
10/07/2011
$0.00
Subs
City Sales/Use Tax
251.122030
$30.80
$30.80
10/07/2011
$0.00
County Sales/Use Tax
100.217030
$6.40
$6.40
10/07/2011
$0.00
TOTAL FEES: $63.70 $63.70 $0.00
TOTAL BALANCE DUE AS OF 10/07/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010