HomeMy WebLinkAbout324 N Shields St - Permits/Reroof - 11/18/20054aCommunity Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 324 N SHIELDS ST
BUILDING PERMIT
' PERMIT FEES
Building Valuation
E30506832 $1,088.00
ACCOUNT FEE DATE PAID'
PERMIT DATE 1 1/18/2005 Building Permit w/o Sub $19, O 11/18/0
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ROOF
Roofing - ReRoonng
ISSU_FUL
Last Name First Middle Initial
NI�LS�N, JORDAN W
Construction Type
Address
City/State
in
No. of Stories
324 N SHIELDS ST
FORT COLLINS, CO
O
O
Z'p 80521
Phone No.
217*0165
U
Building Square Footagi
Front Setback
Rear Setback
0
Z
Right Side Setback
Left Side Setback
Z
•
2
Plat File No.
ZBA Case Number
Zoning District
(See reverse side
R O 0
Subdivision/PU D
Filing
�j
Lot
Block Lot Area
Parcel No.
9 7 1 1 2 2 4 0 1 2
95
Company Name
I Contractor License No.
Address
License No.
y Mechanical License No.
GRoofing License No.
FM ROOFING R 400
O Framing License No.
U
m Plumbing License No.
V)
N
Concrete License No.
REMOVE ONE LAYER OF EXISTING SHINGLES AND REROOF WITH 10.88 SQUARES
TAX BASED ON MATERIAL COST OF $438
8
Residentia City Sales/Use=.lax $13 , 4 11 / 18 /0
Occupancy Group County Sa I es/Use Tax $ 3. 0 11 / 18 /0
Building Height
Inspection Description)
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 such permit or from the date of the last inspection.
Print name of owner/agent Signature Date