HomeMy WebLinkAbout1321 Robertson St - Permits/Reroof - 11/28/2005Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Citv of Fort Collins
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phone (970) 221-6760 Fax (970) 224-6134 gi 0 5 0 7 0 0 9
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1321 ROBERTSON ST
PERMIT DATE 11/28/2005
Building Permit w/o Sub
City Sales/Use Tax
County Sales/Use Tax
$20.
$16.
$3.
0 11/28/0
0 11/28/0'
0 11/28/0
PERMIT
TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE -
Residenfiall
ad
Last Name, First, Middle Initial
WILSON, KERRYG
Construction Type
Occupancy Group
I
Z
Address
City/State
p No. of Stories
Building Height
3
1321 ROBERTSON ST
FORT COLLINS, CO
O
O
Zip Phone
80524-4257
No.
V Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
! ,
Z
• • •
Right Side Setback Left Side Setback
I -I
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
ROO
Subdivision/P ID
Filing
Q
Lot
Block
Lot Area
Parcel No.
9713408086
OCompany
Name Contractor
License No.
ATLAS ROOFING I CONST
Cl 154
Address City/State
I-
PO BOX 213122
FORT COLLINS CO 8052
Z
�
Phone 910 484 1171
Supervisor Cert. No.
Electrical
License No.
10
CRoofing
Mechanical
License No.
License No.
Framing
License No.
m
V)
Plumbing
License No.
h
Concrete
License No.
REMOVE AND REPLACE 12 SQUARES OF ASHPALT SHINGLES
TAX BASED ON MATERIAL COST OF $420.00
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