HomeMy WebLinkAbout617 E COY DR - PERMITS - 10/24/2011„.Fo`rt` Collins
Site Address: 617 E COY DR
Job Valuation: $4,000.00 Category: Residential
Owner: ADAM, RONALD
617 E. COY DR
FORT COLLINS, CO 80521
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:690-9905
Building Permit #: B1109625
Issued Full: 10/24/2011
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:
# of stories:
Fire Sprklr:
Contractor:
Subcontractorls)
Com sq ft:
Occ Group:
Stock plan M
Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
Basement sq ft:
License #: Supervisor cert#:
Phone:
Phone License Number
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Work Descriotion: TEAR OFF EXISTING SHINGLES TO -DECKING AND REROOF WITH NEW 30# FELT AND ASPHALT
DIMENSIONAL SHINGLES - 40,S91JARES - PROVIDE REQUIRED ATTIC VENTILATION
HOMEOWNER AFFIAVIT ON FILE ' -.HOMEOWNER GIVEN RESPONSIBILITIES HANDOUT AND ROOFING INFO.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess '*
Inspections: RF
TOTAL FEES PAID AS OF 10/24/11: $137.50 Payment method: Check 1806
” Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I 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 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: Print Name: /r AAtA Date: MA11/ZG / /
I Form Revised Oct 2010
Site Address: 617 E COY DR
Job Valuation: $4,000.00 Category: Residential
Transactions
Check CK # 1806 10/24/2011 $137.50
Receipt issued: 10/24/2011 Total Paid to Date: $137.50
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $44.50
Subs
City Sales/Use Tax 251.122030 $77.00
County Sales/Use Tax 100.217030 $16.00
TOTAL FEES:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1109625
Issued Full: 10/24/2011
Permit Type: Residential Roofing
Comments
PAID BY RONALD ADAM CK#1806
Amount Paid Date Paid Amount Due
$44.50 10/24/2011 $0.00
$77.00 10/24/2011 $0.00
$16.00 10/24/2011 $0.00
$137.50 $137.50
$0.00
TOTAL BALANCE DUE AS OF 10/24/2011: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010