HomeMy WebLinkAbout4112 MOUNT VERNON CT - PERMITS - 5/20/2015rfCollins
Site Address: 4112 MOUNT VERNON CT
Job Valuation: $2,933.00 Category: Residential
Owner: SANDRA TEMPLE
4112 MOUNT VERNON CT
FORT COLLINS, CO 80525-3335
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Phone:
Building Permit #: B1503762
Issued Full: 05/20/2015
Permit Type: Residential Roofing
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case M
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 2 Occ Group:
Fire Sprklr: Stock plan #:
Contractor:
Subcontractor(s)
Filing M Lot #: Block #:
Ind sq ft: _
Const Type: _
Stock plan options:
Basement sq ft:
License #: Supervisor cert#:
Phone:
Phone License Number
Work Description: Tear down to deck and re -roof 29.33 squares with Malarkey Legacy Class 4- Impact Resistant Shingles. Provide
required attic ventilation. Ice and water guard required. Install shingles per manufacturer's high -wind specifications. Homeowner aff_
on file.
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 05/20/15: $142.49 Payment method: Credit Card 17393
*" Fee Detail Displayed on Next Page
As a condition for the issuance of a perm@, 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 assodated 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: 5q h D 2A- Date: S/ Z o
Form Revised Oct 2010
F&fCollins
Site Address: 4112 MOUNT VERNON CT
Job Valuation: $2,933.00 Category: Residential
Transactions
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 8o522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1503762
Issued Full: 05/20/2015
Permit Type: Residential Roofing
Method Check Number Date Paid
Amount Paid
Comments
Credit Card CK # 17393 05/20/2015
$142.49
Sandra Newlin CC
Receipt issued: 05/20/2015 Total Paid to Date:
$142.49
Fee Description Account Code
Fee Amount
Amount Paid
Date Paid
Amount Due
Building Permit Fee Without 1000.422010
$76.50
$76.50
05/20/2015
$0.00
Subs
City Sales/Use Tax 251.122030
$56.46
$56.46
05/20/2015
$0.00
County Sales/Use Tax 100.217030
$9.53
$9.53
05/20/2015
$0.00
TOTAL FEES: $142.49 $142.49 $0.00
TOTAL BALANCE DUE AS OF 05/20/2015: 0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.