HomeMy WebLinkAbout1012 Butte Pass Dr - Permits/Reroof - 03/29/2001Community Planning &Environmental Services BUILDING PERMIT
PERMIT FEES
AdZkBuilding &Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
CityofF�
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° Phone (970) 221-6760 Fax (970) 2:24-6134 60101 646
ACCOUNT
FEE
IS P PA :'
DATE
JOB
SITE ADDRESS 1012 BUTTEPASSDR
PERMIT DATE 03/29/2001
Building Permit v/o Subs
City Sales/Use Tax
County Sales/Use Tax
$31.00
$19.9
$5.32
3/29/01
3/29/0t'
3/29/01
PERMIT
TYPE
ROOF Roofin - RePwfin
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
RESIDENTIAL
Last Name, Initial
lvlV
Construction Type
Occupancy Group
Z
Address
City / State
p No. of Stories
Building Heigh[
3
725 HINSDALE DR
FORT COLLINS, CO
V
l7
Zip Phone
No.
Building Square Footage Stock Plan/Options
80526-3543
217
Front Setback Rear
Setback
REQUIRED INSPECTIONS
Z_
Side Setback
CALL 221-6769
Right Side Setback Left
Z
TO SCHEDULE INSPECTIONS
(See reverse si a or Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
B00
a
ILI
Lot Block i Lot Area 0 Parcel No. 9735315012
Name Contractor License No.
OCompany
G
_.. .. _. __
Address
City/Stale
d
Z
0
Phone Supervisor Cart. No.
Electrical License No.
0
Mechanical
License No.
G
Roofing
License No.
Z
ATLAS ROOFING SYSTEMS
R-695
0
Framing
License No.
co
License No.
UOPlumbing
REROOF 19 SQUARES
TAX BASED ON $665 IN MATERIALS
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owne(s agont, authorized to perform the proposed work on the property
P Y
described
herein. I agree to comply with all City ordinances, and State laws associat with sucItWork. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete infor fiMr r shall be I and void if the work authorized by such permit is not
commenced,
suspended, abandoned or not inspected withi 80 days from)t date of per It or from the date of the last inspection.
3-.;29-0�
�r
tOTiAt fw
name of owner/agent Signatur Date
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