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Home My WebLink About4916 CHIPPENDALE DR - PERMITS - 7/9/2014�,F�rt Collins Site Address: 4916 CHIPPENDALE DR Job Valuation: $5,000.00 Category: Residential Owner: PEDRI HERBERT J/MARILYN D 4916 CHIPPENDALE DR FORT COLLINS, CO 80526-3814 ty Development & Neighborhood Services 28i N. College Ave Fort Collins, CO 80522 97o.22i.676o 970.224.6134 -.fax Building Permit#: B1403650 Issued Full: 07/09/2014 Permit Type: Residential Roofing Phone:970-223-3008 Zoning: Front setback: Rear setback: Right setback: Left setback: Minor Amend #: Plat File #: ZBA Case #: Zoning district: UE - URBAN ESTATE DISTRICT Legal: Subdivision/PUD: Code: Res sq ft: Corn sq ft: # of stories: 1 Occ Group: Fire Sprklr: Stock plan #: Contractor: ADVANCED ROOFING -TECH 4496 BENTS DR, UNITC'=- WINDSOR, CO 11$0550 Subcontractorls) Roofing: ADVANCED R, OOFI 9 TECH ILJ i Work Description: Remove,and-disoose of existina shinak required attic ventilation. Ice and4ater guard readi ed: Install sh Filing #: Lot #: Block #: Ind sq ft: Const Type: Stock plan options: License #: R-1161 Phone: 970-663-0203 Basement sq ft: Supervisor cert#: License Number and reroof"with 50 sas of GAF timberline HD shi lies -per manufacturer's high -wind specifications. 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 07/09/14: $208.25 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. Signature: Print Name: Date: Form Revised Oct 2010 F&fColhns Site Address: 4916 CHIPPENDALE DR Job Valuation: $5,000.00 Category: Residential Transactions Method Check Number Date Paid Amount Paid Trust Account 07/09/2014 $208.25 Receipt issued: 07/09/2014 Total Paid to Date: $208.25 Fee Description Account Code Fee Amount Building Permit Fee Without 1000.422010 $97.00 Subs City Sales/Use Tax 251.122030 $96.25 County Sales/Use Tax 100.217030 $15.00 ty Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 8o522 97o.22i.676o 970.224.6134-fax Building Permit #: B1403650 Issued Full: 07/09/2014 Permit Type: Residential Roofing Comments Amount Paid Date Paid Amount Due $97.00 07/09/2014 $0.00 $96.25 07/09/2014 $0.00 $15.00 07/09/2014 $0.00 TOTAL FEES: $208.25 TOTAL BALAN V\ $208.26 $0.00 CE DUE ASrvOF 07,109/2014: 0.00 i -1 Li L Fee Amounts are valid for date of this document only. Fees subject to change without notice.