HomeMy WebLinkAbout528 Deines Ct - Permits/Reroof - 11/06/2006__ Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
/ Building & Inspections Division
`-P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
ctty of Fun colons phone (970) 221-6760 Fax (970) 224-6134 �^nn
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*PARID
ACCOUNT
FEE
DAWE
JOB
SITE ADDRESS
PERMIT DATE
528 DElNESCT
Building Kermit w/o Silts.
_ $38.50.
11/6/
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Roofing - ReRoofing
ISSU FUL
I Resirlenti
il
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
Q No. of Stories
Building Height
3
528 DIFINES CT
FORT
V
O
Zip Phone
No.
Building Square Footage Stock Plan/Options
80525-1010
493-8975
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
ROO
_
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
^
OCompany
Name Contractor
License No.
Address City/State
315 C
,q
Phone
Supervisor Cert. No.
0
910 493 7470
Electrical
License No.
Mechanical
License No.
}W
Roofing
License No.
HVOLF
ROOPINC
974
Z Framing License No.
V_. ....
m Plumbing License No.
h
Concrete License No.
TEAR OFF EXISTING SHINGLES TO DECKING AND REROOF WITH 23 SQUARES OF 30 YR CLASS A SHINGLES
As a con ion 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 d to of such per .[ or from the date of th last inspection. ... ._.. ... _...... .... _ _.
Print name of owner/agent Signature Date TOTAL FEES $38 0