HomeMy WebLinkAbout3342 Riva Ridge Dr - Permits/Reroof - 10/10/2006Community Planning &Environmental Services BUILDING PERMIT!
. PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
ctfyofF Phone (970) 221-6760 Fax (970) 224-6134
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
3342 RIVA. RIDGE DR
Building ?ermit a/o Sub
$38.
0 10/10/0,
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
i�
! City Sales/Use-tax -
- $33.
0 10/10/0
Last Name, First, 51919fital
onsfruction Type
Occupancy Group
County Sales/Use Tax
$8.
ID 10/10/0
Address LOIS
City/State
wp Na of Stories
Building Height
Z
RIDGE DR
FORT GO
O
O
Zip 3342 RIVA Phone
No,
Building Square Footage
Stock Plan/Options
08-3549
Front Set ac Rear
Setback
•
ALL•
Z_
Right Side Setback Leff Side Setback
•
Z
TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
R00
Q
wLot
J
Block Lot Area Parcel No.
Name Contractor License 1,o.
OCompany
V
n n
I H
Addres n n 1 n 6 1 u t n trn a n i City/State
H
OPhone
PAT" ` Supervisor Cert. No. ` r
V
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Electrical 2 License No.
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Mechanical
License No.
0
Roofing
n
License No.
Z
Framin I t fiIII]License
No. 1
O
m
Z
Plumbing
License No.
N
Concrete
License No.
TEAR - REROOF 22SQ
W
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 may 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 inspected within 180 days from the date of suchpermitor from the date of the last inspection.
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✓_� -�Z/ " J,Al /y /�✓��
name of - er/agent Signature Date
TOTAL FEES
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