HomeMy WebLinkAbout1105 Green St - Permits/Reroof - 11/08/1999SETBACKS
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Community Planning & Environmental Services BUILDING PERMIT
REAR
Building Permits & Inspections Division
CityofF
P.O. Box 580
Fort Collins, CO 80522-0580
221-6769
LEFT
JOB SITE ADDRESS 1105 GREEN ST
- 80524
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AI MATTON
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S 401 FAM11 Y DETACHFD
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Use Zone
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Subdivision PUD
Filing
PERMIT FEES
Subdivision/PUD
Building Valuation '1300
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FRONT
KNAB DON LDG PERMIT NON S
W 'ITY SALES USE TA:
3 T GREEN S1 MRT COLLINS AUNTY SALES TAX
0e zip 80524 Phone jJp4-5999
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2> HEATH PARKWAY, 0 C'tYFT COL L INS to
o 66524 Phone495-1175 s°I`���3A6
Building Squge Footage Basement Square Footage FArea
MOccupancy Load Occupancy Separation
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3 No.®f Dwelling Units No. of Bedrooms No. of Bothn
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z PVROOF WITH CLASS A SHINGLES
0 33 SQUARES
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44.50 1991108
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
RE
0995786 f(/ Penn`4"VEMBER 8, 1999 DEPARTMENT STATUS DATE • ' ' •
OTC PE RMT SS I:"X
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`°I
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I agree to comply with all the requirements contained herein, and City ordinances, and State NC¢X
laws associated with such work I understand that such permit may be revoked in the event ,
that issuance was based on incorrect information. This permit shall become null and void if Plyrtt6An9
the work authorized by such permit is not commenced, suspended, abandoned, or not POW
inspected within 180 d s fr the date of such permit.
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Signature Date I (... " r