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HomeMy WebLinkAbout422 N GRANT AVE - PERMITS - 6/16/2017ins Site Address: 422 N GRANT AVE Job Valuation: $1,10000 Category: Residential Owner: BALDIVIA MARY ANN 3676 E DOUGLAS RD FORT COLLINS. CO 80524-2620 Zoning: Front setback Rear setback ty Development & Neighborhood Services 281 N College Ave Fort Collins, CO 80522 97o.22.i.676o 970.224.6134 -fax Building Permit #: B1703241 Issued Full: 06/16/2017 Permit Type: Residential Roofing Phone 970-221-1867 Right setback Left setback Minor Amend # Plat File # ZBA Case # Zoning district NCM -NEIGHBORHOOD CONSERVATION -MEDIUM DENSITY DISTRICT Legal: Subdivision/PUD Filing # Lot # Block # Code: Res sq ft Com sq ft Ind sq It Basement sq It # of stones 1 Occ Group Const Type Fire Sprklr Stock plan # Stock plan options Contractor: License # Supervisor cert# Phone Subcontractorfs)- Phone r j License Number C � El __j Work Description Tear off existing shingles to decking and,re-roof 11 squares with asphalt shingles Provide required attic ventilation Install required ice and water shield Install shingles per manufacturers high -wind specifications 1 story Homeo-4 er,, affidavit on file_ _f SCHEDULE INSPECTIONS: "' By Phone: 970-221-6769 •"• By Web: http://www.fcgov.com/CitizenAccess ***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile InsDectlons RF TOTAL FEES PAID AS OF 06116117: $66.25 Payment method: Credit Card 3129 Fee Demll Displayed on Next Page As a condition for the issuance of a permit, I hereby declare that I am the owneror owners agent, authorized to perform the proposed work on the property described herein I agree to comply with all the requirements oontaned herein, and City ordinances and State laws associated with such work I understand that such pemut may be revoked in the event that issuance was !rased on Incorrect Information This permit sIW become null and void d the work k auC>ortzed by such pemut is riot commenced, suspended, abandoned or not inspected vA hm 180 days from the date of such pemuL Carbon Monoxide Alarm required within 15 feet of each bedroom entrance. Signature: Print Name: r /y/ly h„ �i�i� Date: 4,: 4/7 TX Form Revised Oct 2010 fins Site Address: 422 N GRANT AVE Job Valuation: $1,10000 Category: Resldental Transactions Credit Card CK # 3129 06/16/2017 $66 25 Receipt Issued: 06/16/2017 Total Paid to Date: $6625 Fee Description Account Code Fee Amount Building Permit Fee Without 1000 422010 $41 50 Subs City Sales/Use Tax 251 122030 $21 18 County Sales/Use Tax 100 217030 $3 57 281 N. College Ave Fort Collins, CO 80522 97o.22i.676o 970.224.6134 -far Building Permit#: B1703241 Issued Full: 06/16/2017 Permit Type: Residential Roofing Comments MARY A BALDIVIA paid with CC Amount Paid Date Paid Amount Due $41 50 06/16/2017 $0 00 $21 18 06/16/2017 $0 00 $3 57 06/16/2017 $0 00 TOTAL FEES: $66.25 TOTAL BALAN J $66.26 $0.00 CE DUE AS OF 06/16/2017: 0.00 ❑ �J J � J J n Fee Amounts are valid for date of this document only Fees subject to change without notice.