HomeMy WebLinkAbout919 BITTERBRUSH LN - PERMITS - 3/10/2015City of
Fort C011inS
Site Address: 919 BITTERBRUSH LN
Job Valuation: $2,000.00 Category: Residential
Owner: VANDER MEEDEN ZACHARY K/ASHLEY
919 BITTERBRUSH LN
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1501444
Issued Full: 03/10/2015
Permit Type: Residential Roofing
Phone: 970-817-0574
Zoning: Front setback: Rear setback:
Minor Amend #: Plat File #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PLID:
Code: Res sq ft: Com sq ft: Ind sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: AFFORDABLE ROOFING & RMDL
217 W TRILBY RD
FORT COLLINS. CO 80525
Subcontractor(s)
Roofing: AFFORDABLE ROOFING & RMDL
Roofing: FLORES ROOFING LLC
Right setback: Left setback:
ZBA Case #:
Filing #:
Const Type: _
Stock plan options:
Lot #: Block #:
Basement sq ft:
License #: R-1859 Supervisor cert#:
Phone: 970-207-0000
Phone License Number
970-207-0000 R-1859
970-213-7445 R-1850
Work Description: Tear off down to deck and re -roof 20 squares with Owens Corning Duration Storm Composition shingles_ Provide
required
attic ventilation. Ice and water guard required. Install shingles per manufacturer's high -wind specifications. 2 story.
Subcontractor: Flores Roofing
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Inspections: RF
TOTAL FEES PAID AS OF 03/10/16: $111.25 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
�of
t Collins
Site Address: 919 BITTERBRUSH LN
Job Valuation: $2,000.00 Category: Residential
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1501444
Issued Full: 03/10/2016
Permit Type: Residential Roofing
Method Check Number Date Paid
Amount Paid
Comments
Trust Account 03/10/2015
$111.25
Receipt issued: 03/10/2015 Total Paid to Date:
$111.25
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$66.25
$66.25
03/10/2015
$0.00
Subs
City Sales/Use Tax 251.122030
$38.50
$38.50
03/10/2015
$0.00
County Sales/Use Tax 100.217030
$6.50
$6.50
03/10/2015
$0.00
TOTAL FEES: $111.25 $111.25 $0.00
TOTAL BALANCE DUE AS OF 03/10/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.