HomeMy WebLinkAbout1080 E Elizabeth St - Permits/Reroof - 05/03/2000PERMIT FEES
r Community Planning &Environmental Services BUILDING PERMIT
Building &Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation $1.600.00
Fort Collins, CO 80522-0580 B0012329
c�rrotF Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT FEE DATE PAID
PERMIT DATE
FOR WE A'DMESS 1080 E ELIZABETH S T F Ti OO 1 05/03/2000 SFudding Perm0WO1Subs $W,5U =2r3p(7
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ROOF Roofing- ReRoofin lssu FUL MEDICAL CRY•Ta $32.71
Last Name, First, Middle Initial Construction Type Occupancy Group County SalesIll Tax $8.72 5/03/2000
Z Address City / State �p No. of Stories Building Height
31925 SEMINOLE ST FORT COLLINS CO 00
0 Zip Phone No. Building Square Footage Stock Plan/Options
80525 493-6353
Front Setback Rear SetbackREQUIRED INSPECTIONS
Z Right Side Setback Lett Side Setback CALL 221-6769
Z TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District (See reverse side or Inspection Description)
Subdivision/i Filing ROO
a
wLot Block Lot Area Parcel No.
0 31OW51
OCompany Name Contractor License No.
V
Q Address City/State
OPhone Supervisor Can. No.
V
Electrical License No.
tY
Mechanical License No.
Rooting License No.
Z FM ROOFING R-400
0 Framing License No.
on
h Plumbing License No.
REROOF MANSARED ROOF REMOVE 1 LAYER OF EXISTING INSTALL 30# FELT AND NEW
40 YEAR DIMENSIONAL SHINGLES
TAX BASED ON $1090.20 IN MATERIALS
J
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit lnay be revoked in the
event that issuance was based on incorrect or incomplete 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 om the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date — TOTA(FEES