HomeMy WebLinkAbout620 W COY DR - PERMITS - 11/15/2011City of
F6rt Collins
Site Address: 620 W COY DR
Job Valuation: $2,160.00 Category: Residential
Owner: PEDERSEN DEAN A
1502 FORRESTAL DR
FORT COLLINS, CO 80526-9681
Community Development&Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110426
Issued Full: 11/15/2011
Permit Type: Residential Roofing
Phone:970-484-2068
Zoning: Frontsetback: 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:
Fire Sprklr: Stock plan #:
Contractor: ADVANCED ROOFING TECH
4496 BENTS DR, UNIT C
WINDSOR, CO 80550
Const Type:
Stock plan o
License #: R-1161 Supervisor cert #:
Phone:970-663-0203
Subcontractor(s) Phone License Number
Roofing: ADVANCED ROOFING, TECH 970-663-0203 R-1161
r ,
Work Descriotion: REMOVE AND DISPOSE OF EXISTING SHINGLES AND REROOF WITH 21.60 SQS OF OWENS''
CORNING WEATHERGUARD SHINGLES. PROVIDE REQUIRED ATTIC VENTILATION.
** SCHEDULE INSPECTIONS *** By Phone: 221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess **
Inspections: RF
TOTAL FEES PAID AS OF 11115/11: $88.72 Payment method: Trust Account
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.
Print Nam •yw ��� r--c-flate:
Form Revised Oct 2010
City of
Community Development & Neighborhood Services
F6rt Collins
281 N. College Ave Fort Collins, CO So522
970.221.676o 970.224.6134 -fax
Building Permit #: B1110426
Issued Full: 11/15/2011
Permit Type: Residential Roofing
Site Address: 620 W COY DR
Job Valuation: $2,160.00 Category: Residential
Transactions
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 11/15/2011
$88.72
ADVANCED TRUST ACCT
Receipt issued: 11/15/2011 Total Paid to Date:
$88.72
Fee Description Account Code
Fee Amount
Amount Paid Date Paid Amount Due
Building Permit Fee Without 1000.422010
$38.50
$38.50 11/15/2011 $0.00
Subs
City Sales/Use Tax 251.122030
$41.58
$41.58 11/15/2011 $0.00
County Sales/Use Tax 100.217030
$8.64
$8.64 11/15/2011 $0.00
TOTAL FEES:
$88.72
$88.72 $0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.