HomeMy WebLinkAbout823 HILLDALE DR - PERMITS - 12/30/2014ins
Site Address: 823 HILLDALE DR
Job Valuation: $4,700.00 Category: Residential
Owner: FRASER RANDYMODI
823 HILLDALE DR
FORT COLLINS, CO 80526
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970-224.6134 -fax
Phone:
Building Permit#: B1413167
Issued Full: 12130/2014
Permit Type: Residential Roofing
Zoning: Frontsetback:
Rearsetback:
Rightsetback:
Left setback:
Minor Amend M
Plat File #:
ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Filing#:
Lot#: Black#:
Code: Res sq ft:
Com sq ft:
Ind sq ft:
Basement sq ft:
# of stories: 2
Occ Group:
Const Type:
Fire Sprklr:
Stock plan M
Stock plan options:
Contractor: MASTER ROOFING
License #: R-1665
Supervisor cert#:
4497 CR 44
JOHNSTOWN, CO
80534
Phone: 970-690-8380
Subcontractor(s) _
-Phone
f License Number
Roofing: MASTER ROOFING _-
970-690-8380
_ , --. R-1665 -
Work Description: Tear off shake shinales down to decking and re -roof 47 squares with shake shinales. Provide reduiied attic
ventilation. Ice and water guard required. Install shingles'per manufacturer's high -wind specifications. 2 story. The replacement' roof
covering has a minimum rating of Class_C. Master Roofing employees to do the work.
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web:
TOTAL FEES PAID AS OF 12/30/14: $201.58 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a peril, 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
ns
Site Address: 823 HILLDALE DR
Job Valuation: $4,700.00 Category: Residential
Transactions
Trust Account
12/30/2014
$201.58
Receipt issued: 12/30/2014 Total Paid to Date:
$201.58
Fee Description
Account Code
Fee Amount
Building Permit Fee Without
1000.422010
$97.00
Subs
City Sales/Use Tax
251.122030
$90.48
County Sales/Use Tax
100.217030
$14.10
TOTAL FEES:
_J -.
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970-224.6134 -.fax
Building Permit#: B1413167
Issued Full: 12/30/2014
Permit Type: Residential Roofing
Amount Paid Date Paid Amount Due
$97.00 12/30/2014 $0.00
$90.48 12/30/2014
$14.10 12/30/2014
$201.68 $201.58
$0.00
$0.00
$0.00
TOTAL BALANCE DUE AS OF;1213012014: 0.00
• � � I (� i i I h I
Fee Amounts are valid for date of this document only. Fees subject to change without notice.