HomeMy WebLinkAbout3430 Sam Houston Cir - Permits/Reroof - 05/22/2006Community 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 3430 SAM HOUSTON CIR
PERMIT TYPE PER
ROOF Roofing - ReRooting
Last Name, First, Middle Initial
UHRICH, BRUCE
Z Address City/State
3430 SAM HOUSTON CIR FORT COLLINS
O 80526 zip Phone No. 223-3343
BUILDING PERMIT
Building Valuation
80602361 ACCOUNT
PERMIT DATE i �•>
0r�/��22 , �.(]Uf3 Building Permit w/o'
RMIT LEVEL CATEGORY TYPE
ISSU_FUL Residenti I City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
w No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
FEE I DATE PAID I
$38. 0 5/22/0
$39. 0 5/22/0
$10. 0 5/22/0
Front Setback Rear Setback REQUIRED INSPECTIONS-
Z_ Right Side Setback Left Side Setback E •
TO SCHEDULE INSPECTIONS
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PU D Filing R 0 0
Q w Lot Block Lot Area Parcel No. 9 7 2 7 419001
J
W Company Name Contractor License No.
SLAUGHTER ROOFING CO R 1703
Address City/State
OQ — 2120 CLUBHOUSE DR GREELEY, CO 8063
OPhone Supervisor Cert. No.
0 970 330 7881
Electrical License No.
Ce Mechanical License No.
0
CRoofing License No.
SLAUGHTER ROOFING CO R 1703
Z Framing License No.
O
ED Plumbing License No.
N
Concrete License No.
TEAR OFF EXISTING SHINGLES TO DECKING, INSTALL BASE FELT PAPERAND INSTALL OWENS CORNING
SHINGLES 26 SQUARES
8
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
TOTAL FEES