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
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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_
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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
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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
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Fee Amounts are valid for date of this document only Fees subject to change without notice.