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Home My WebLink About625 BLUE MOUNTAIN DR - PERMITS - 7/21/2014City of F6rt Collins Site Address: 625 BLUE MOUNTAIN DR Job Valuation: $1,700.00 Category: Residential Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 8o522 970.221.676o 970.224.6134 -fax Building Permit #: B1403932 Issued Full: 07/21/2014 Permit Type: Residential Roofing Owner: Phone: 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: 2 Occ Group: Fire Sprkir: Stock plan M Contractor: WESTERS ROOFING INC 8513 S County Rd. 13 FORT COLLINS, CO 80525 Subcontractor(s Roofing: _ WESTERS ROOFING INC Roofing: i BROTHERS LOPEZ LLC Filing #: Lot #: Block #: Ind sq ft: Basement sq ft: Const Type: Stock plan options: License* R-1555 Phone: 970-690-1845 Phone 970-690-1845 -' 97.0-381-2820 1� Supervisor cert#: License Number R-1555 r� EX-11(R) I � � Work Descfttion: Remove existing roofing materials to the decking and -re -roof with 17 sqs of synthetic -felt shingles and 50 year class 4 laminated shingles. Provide required attic ventilation. Ice and -water guard required-lnstall shingles-per-manuf_acturer's high -wind specifications. \ �` Exempt Workers: AJ Roofing and Brothers-L-opez SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess ***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/ Inspections: TOTAL FEES PAID AS OF 07/21/14: $96.82 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 ifthe 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. f�ntN- ame: s JZ� Os7`C� Date: %,)� ) - 1 Form Revised Oct 2010 rfCollins Site Address: 625 BLUE MOUNTAIN DR Job Valuation: $1,700.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Trust Account 07/16/2014-$40.75 Trust Account 07/16/2014 $136.57 Receipt issued: 07/21/2014 Total Paid to Date: $95.82 Fee Description Building Permit Fee Without Subs Building Permit Fee Without Subs City Sales/Use Tax City Sales/Use Tax County Sales/Use Tax County Sales/Use Tax Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 8o522 970.221.676o 970.224.6134 -.fax Building Permit #: B1403932 Issued Full: 0712l/2014 Permit Type: Residential Roofing Comments Wasters Roofing trust acct Account Code Fee Amount Amount Paid Date Paid Amount Due 1000.422010 $76.50 $76.50 07/16/2014 $0.00 1000.422010-$18.50-$18.50 251.122030-$19.25-$19.25 251.122030 $51.97 $51.97 07/16/2014 $0.00 100.217030 -$3.00 -$3.00 100.217030 $8.10 $8.10 07/16/2014 $0.00 TOTAL -FEES: - C , $95.82 ` $136.67 i J �, �-—$40.75 TOTAL BALANCEDUE'AS OF 07/21/2014: �J D L! Li Fee Amounts are valid for date of this document only. Fees subject to change without notice.