HomeMy WebLinkAbout816 E LAKE ST - PERMITS - 5/11/2015F -
rfCollins
Site Address: 816 E LAKE ST
Job Valuation: $3,000.00 Category: Residential
Owner: BURWELL KELLY MARIE
816 E LAKE ST
FORT COLLINS, CO 80524-4206
Community Development &Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
97o.221.676o 970.224.6134 -.fax
Building Permit#: B1503358
Issued Full: 05/11/2015
Permit Type: Residential Roofing
Phone: 408-710-3289
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: Filing#: Lot Block#:
Code: Res sq ft: Com sq ft: _
# of stories: 1 Occ Group: _
Fire Sprklr: Stock plan #: _
Contractor: ADVANCED ROOFING TECH
4496 BENTS DR, UNIT C
WINDSOR, CO 80550
Subcontractor(s)
Roofing: ADVANCED ROOFING TECH
Ind sq ft: _
Const Type: _
Stock plan options:
License #: R-1161
Phone: 970-663-0203
Phone
970-663-0203 .
Basement sq ft:
Supervisor cert#:
License Number
R-1161
I ,
Work Description: Tear off shingles down to deck. Re -roof 30 squares with Owens Corning Oakridge shingles. Provide required attic
ventilation. Ice and water guard required. Install shingles p`er manufacturer's high -wind specifications. 1 story. Using own employees.
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 05/11/15: $144.00 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
�fCollins
Site Address: 816 E LAKE ST
Job Valuation: $3,000.00 Category: Residential
Transactions
Method Check Number Date Paid Amount Paid
Trust Account 05/11/2015 $144.00
Receipt issued: 05/11/2015 Total Paid to Date: $144.00
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $76.50
Subs
City Sales/Use Tax 251.122030 $57.75
County Sales/Use Tax 100.217030 $9.75
TOTAL FEES:
F
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1503358
Issued Full: 05/11/2016
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid Amount Due
$76.50 05/11/2015 $0.00
$57.75 05/11/2015 $0.00
$9.75 05/11/2015 $0.00
$144.00 $144.00
$0.00
TOTAL BALANCE DUE AS OF 05/11/2015: 0.00
LJ
Fee Amounts are valid for date of this document only. Fees subject to change without notice.