HomeMy WebLinkAbout468 PEYTON DR - PERMITS - 10/14/2011Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: 131109044
Issued Full: 10/14/2011
Permit Type: Residential Roofing
Site Address: 468 PEYTON DR
Job Valuation: $1,900.00 Category: Residential
Owner: BURNS, SUSAN
468 PEYTON DR
FORT COLLINS, CO 80525 Phone: 308-2471
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: MMN - MEDIUM DENSITY MIXED -USE NEIGHBORHOOD DISTRICT
Legal: Subdivision/PUD: Filing #: Lot #: 182 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: License #: Supervisor cert#:
Phone:
Subcontractorls) _ . "Phone License Number
Work Description: TEAR OFF EXISTING SHINGLES TO DECKING AND INSTALL 19 SQUARES OF NEW SHIN LG ESQ\
PROVIDE REQUIRED ATTIC VENTILATION. INSTALL SHINGLES PER'MANUFACTURER'S HIGH -WIND SPECIFICATIONS--.,
HOMEOWNER AFFIDAVIT ON FIDE.
II ** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: hftp://amos.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 10/14/11: $75.18 Payment method: Check 2802
" 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 peril is not commenced,
suspended, abandoned or rat inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
Signaturgs_ . `� Print Name:,S05aL l�ext c,�_- _&)r n 5 Date: 1y - I L4- if
Form Revised Oct2010
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Site Address: 468 PEYTON DR
Job Valuation: $1,900.00 Category: Residential
Transactions
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109044
Issued Full: 10/14/2011
Permit Type: Residential Roofing
Check CK # 2802 10/14/2011
$75.18
PAID BY CHERIE MAKE CH#2802
Receipt issued: 10/14/2011 Total Paid to Date:
$75.18
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Building Permit Fee Without 1000.422010
$31.00
$31.00
10/14/2011
Subs
City Sales/Use Tax 251.122030
$36.58
$36.58
10/14/2011
County Sales/Use Tax 100.217030
$7.60
$7.60
10/14/2011
Amount Due
$0.00
$0.00
$0.00
TOTAL FEES: $75.18 $75.18 $0.00
- - TOTAL BALANCE DUE AS OF 10M4/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010