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Home My WebLink About654 MANSFIELD DR - PERMITS - 9/22/2015City of Community Development & Neighborhood Services Fort Collins 281 N. College Ave Fort Collins, CO 80522 970.221.676o 970.224.6134 -.fax Building Permit #: B1506932 Issued Full: 09/22/2015 Permit Type: Residential Roofing Site Address: 654 MANSFIELD DR Job Valuation: $1,500.00 Category: Residential Owner: DUDEK BRIAN 2257 HARVEST ST FORT COLLINS, CO 80528 Phone: 970-556-4368 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: 2 Occ Group: Fire Sprklr: Stock plan #: Contractor: JAVERNICK HOLDINGS CORP DBA ATLAS ROOFING CO. 506 W. 66th St Loveland, CO -80538 Subcontractors) Roofing: JAVERNICK _HOLDINGS CORP DB Ind sq ft: _ Const Type: _ Stock plan options: Basement sq ft: License #: R+-2530 Supervisor cert#: Phone: 970A84-7777 Phone License Number 970A84-7777 - R+7253b Work Description: Remove down to decking and replace roof with 15 squares of asphalt shingles. Provide required attic ventilation, Ice and water guard required. Install shingles per manufacturer's high -wind specifications. 2 story. JAVERNICK HOLDINGS CORP DBA ATLAS ROOFING CO. Own employees to do the work. 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 09/22/15: $86.25 Payment method: Credit Card 81020 " 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 wi0in 15 feet of each bedroom entrance. i Signature: ^0L Print Name: l ( ate: l Form Revised Oct 2010 F6rt Collins Site Address: 654 MANSFIELD DR Job Valuation: $1,500.00 Category: Residential Transactions Community Development & Neighborhood Services 281 N. College Ave Fort Collins, CO 8o522 970.221.676o 970.224.6134 -fax Building Permit #: B1506932 Issued Full: 09/22/2016 Permit Type: Residential Roofing Method Check Number Date Paid Amount Paid Comments Credit Card CK#81020 09/22/2015 $86.25 Javernick CC Receipt issued: 09/22/2015 Total Paid to Date: $86.25 Fee Description Account Code Fee Amount Amount Paid Date Paid Amount Due Building Permit Fee Without 1000.422010 $52.50 $52.50 09/22/2015 $0.00 Subs City Sales/Use Tax 251.122030 $28.88 $28.88 09/22/2015 $0.00 County Sales/Use Tax 100.217030 $4.87 $4.87 09/22/2015 $0.00 TOTAL FEES: $86.25 $86.26 $0.00 Fee Amounts are valid for date of this document only. Fees subject to change without notice.