HomeMy WebLinkAbout412 LILAC LN - PERMITS - 4/24/2019R
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Site Address: 412 LILAC LN
Job Valuation: $1,400.00 Category: Residential
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1902708
Issued Full: 04/24/2019
Permit Type: Residential Roofing
Owner: LOPEZ PEDRO A
412 LILAC LN
FORT COLLINS, CO 80524-2926 Phone: 303-341-9791
Zoning: Front setback: Rear setback: Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: NCM - NEIGHBORHOOD CONSERVATION - MEDIUM DENSITY DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft: Com sq ft:
# of stories: 1 Occ Group:
Fire Sprklr: Stock plan #:
Contractor: ELITE ROOFING SERVICES, LLC
4424 Hummingbird Dr.
Fort Collins, CO 80526
Sub contractor(
Roofing: ELITE ROOFING SERVICES, LL
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Filing #: Lot #: Block #:
Ind sq ft:
Const Type: _
Stock plan options:
License #: R-2334+
Phone: 970-658-0589
Basement sq ft:
Supervisor cert#:
,--Phone r,
970-658''-0589_
License Number
R-2334+
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Work Description: Tear off existing shingles and re -roof squares with 14 sqs-of Archtitectural class 4 IR shingles. Provide.required
attic ventilation. Install required ice and water shield. Install 'shingles,per manufacturer's high -wind specifications. 1 story. Lii a se_'
holder to do the work. _
SCHEDULE INSPECTIONS: ** via Text Message: 888-406-6394 ** By Phone: 970-221-6769
** Online Portal: fcgov.com/CitizenAccess ** Online Portal via Mobile Device: fcgov.com/CitizenAccess/mobile
Possible Inspections Required: 410 409
TOTAL FEES PAID AS OF 04/24119: $82.30 Payment method: Credit Card 3895
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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: '� `2- y — � 9
Form Revis i Oct 2010
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t Collins
Site Address: 412 LILAC LN
Job Valuation: $1,400.00 Category: Residential
Method Check Number Date Paid Amount Paid
Credit Card CK#3895 04/24/2019 $82.30
Receipt issued: 04/24/2019 Total Paid to Date: $82.30
Fee Description Account Code Fee Amount
Building Permit Fee Without 1000.422010 $49.75
Subs
City Sales/Use Tax 251.122030 $26.95
County Sales/Use Tax 100.217030 $5.60
TOTAL FEES:
1 I 1
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Community Development 8r Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1902708
Issued Full: 04/24/2019
Permit Type: Residential Roofing
Comments
Amount Paid Date Paid
$49.75 04/24/2019
$26.95 04/24/2019
$5.60 04/24/2019
Amount Due
$0.00
$0.00
$0.00
$82.30 $82.30 $0.00
TOTAL BALANCE DUE AS -OF 04/24/2019: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.