HomeMy WebLinkAbout902 Mathews St - Permits/Reroof - 12/23/1997Do
Community Planning & Environmental Services
Building Permits & Inspections Division
P.O. Box 580
City of Fort Collins Fort Collins, CO 80522-0580
JOB SITE ADDRESS 903 MATHEWS ST
r Permit T Work Type
RE-7DOF AI_ TE RAT ION
Proposed Use Use Zone
RESIDENTIAL
Subdivision PUD Filing
J
� Subdivision/PUD Bs
w
JENSEN
I MICHAEL
Z
Address
City
903 MATHEWS ST
FORT COLLINS
D
Stme
CO
Zip
80524
Phone No.
224-1411
C
CompoName
ATI-XS ROOFING
Contractor Uceoe No.
R-695
3119 LONGHORN CT
�� FT COLLINS
Zi
60526
Phone
Soles Taz No.
UO
484-7777
21745
SETBACKS
UILDING PERMIT R�R
221-6769
- 80524 tEFr
Category TYPE
SINGLE FAMILY DETACHED
Pormil lmel
PERMIT FEES
FULL FINAL
ilding Valuation FROM
e ,g aquvrev rov,ogv
semvm ageore rearagv
. or aronez
omianq nmgnr
£ V�
me
Y
Occuponq toad
Occupanq Separation
Mso Seporsnion
fire Contoinment
s
O
3
No. of Dwelling Units
No. of Bedrooms
No. alBathrooms
Stock Plon/Options
=
`
O
0
/
-TOTAL FEES-
Z
g
TPIROOF REMOVE 2 LAYERS OVERLAY 1
LAYER WITH HERITAGE
25 DIMENSIONAL
SHINGLES
a
TAX BASED ON $690 IN MATERIALS
U
w
0
Rlcttr
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
RF
09B2811
""' 1ULY 14, 1998
DEPAKT,ENT° ``
Si/Tf15 '`
DATE
•
•'
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
OTC PERM
T ISS
Ele osl
N/A
owner's agent, authorized to perform the proposed work on the property described herein.
Merhanmal
N/A
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 maybe revoked in the event
that issuance was based on inc 'nformatlon. This permit shall become null and void if
Plpmbing
the work au by suc ermit is`not commenced, suspended, abandoned, or not
N/A
inspect ithin IS da from t of such permit.
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°
i
Roofing
N/A
Sig
Si aturo Doh /��1 (�
'n �'�-�,.:'•,€sa-,?m'sn.