HomeMy WebLinkAbout2950 Brumbaugh Dr - Permits/Reroof - 05/04/2006Community Planning & Environmental Services
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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 2950 BRUMBAUGH DR
BUILDING PERMIT PERMIT FEES
Building Valuation
.100.00
B0602059 ACCOUNT FEE DATE PAID
PERMIT DATE
05 04 2006 Building Fermit y/o Subs a38 50 5/4/O6
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
w
Z Address City/State
Zip Phone No.
80526 2 3-6971
Front Setback I Rear Setback
C)
Z_ Right Side Setback
Z
Plat File No.
Subdivision/PUD
J
Q
w Lot
J
3 Address
H
Z Phone
O 970
Electrical
()e Mechanical
0
H
URoofing
F n
Z Framing
0
U
m Plumbing
V)
rn
ZBA Case Number
Zoning Di;
Filing
Block
Lot Area
n
V
Parcel No.
Contractor License No.
City/State
C
Supervisor Cent. No.
License No.
License No.
License No.
License No.
License No.
License No.
TEAR OFF EXISTING SHINGLES AND REROOF WITH 21 SQUARES
ISSU FUL Residential.Cit' Sales/Use Tax_ . _,':.3� , 50_' _. 5/4�to
Construction Type Occupancy Group
County Sales/Use Tax $8.40 5/4/06
p No. of Stories Building Height
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
ROO
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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, PEEVE
Print or inspected within 180 days from the date of ermit or from the date of the last inspection.
Print name of owner/agent Sign ture Date TOTAL FEES $78 0_