HomeMy WebLinkAbout1719 Centennial Rd - Permits/Reroof - 05/07/1987Of;-'FOY't��C01IIIIS�BUILD-1NGf,INSPEC7lON DIVISION'
APPLICATION' FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 1719 Centennial
Name .John Ho al
d
c
Mail Address 1719 Centennial Road .
o
Fort -'Collins, CO 80525
Phone223-9089
Name Choice Roofing, Inc. - -
0
Address3020 W. Prospect
15
0
Fort Collins, CO 80526-
O
License No. S-583
Phone 221-4137
4
Lot
Block
Filing Number
a
Subdivision _
N
PUD
Parcel It
DESCRIPTION OF WORK
Remove existing shake roof
Install: #1 med. Cedar shakes
starter, ridge, 30# lace felt
20" valley flashing.
Materials ='$2100.00
Stock - - Options
Plan No. Codes
_
Est.Total Cost $4030.00 -
(including labor, material, profit) - -
- I hereby acknowledge that I have read this application and°
state that the above is correct and agree to comply with all city
ordinances and state laws, regulating building construction.
— CL,ASS OF WORK —
New Alters n - Addition Dolish -Move
_ ❑ _ . 1- em
❑ -_ ❑ - ❑-
Plbg. —. Mach. - Elec. :Struct.-- Fire Prot.
❑ ❑ ❑ ❑ - ❑
Occ. Gr. Type Const.
Be ne
Use of Building _
Floor Area -
ht
No, Storie -
Ar
F
-OCC. to
c . Ch n at
Plat F N
Garage area _ -
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering -- -
Fire Department -
Electric Department
Water & Sewer
Plan Review
Special Conditionsr
Valuation FEES
Plan Check
-
Permit
Parkland
-
City Sales Tax
St. Oversizing
Water Plant Investment
-
Sewer Plant Investment
'
Storm Drainage
,
Electric Underground
Total Fees -
-
Off -Street Parking
-
(No.
Cars)
_ Interior Lot -
❑-. -
' Corner Lot - -
❑ -
-
Reversed Corner Lot
❑ -
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Street
PRIITS
44.jij
TAXPM
57.75
TOTL
102.25
CHCY, 10
N29791 06:41 A
MAY.07'87
0
a
ZBA Case a
Date
BBA Case #
Date
Building Insp.
Approval
_
by
date
a
Permit No.
bate _
Distribution: Original - Applicant, Blue -Office. Canary - Sales Tax: Pink -Applicant. Tag -Bldg, Insp.