HomeMy WebLinkAbout3019 Placer Ct - Permits/Reroof - 06/29/2006Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 3019 PLACER CT
PERMIT TYPE PER
ROOF Roofing- ReRoofin
Last Name, First, Middle Initial
LU
3 Z Address
City/State
3019 PLACER CT FORT COLLINS,
0 Zip Phone No.
80526-2651 229-9329
Front Setback Rear Setback
0
_Z Right Side Setback Left Side Setback
Z
� Plat File No. ZBA Case Number Zoning District
Q
w
J
Filing
BUILDING PERMIT
Building Valuation
B0603197 ACCOUNT FEE DATE PAID
PERMIT DATE
06 29 2006 Building Permit w/o Sub $32. 0 6/29/0
LEVEL CATEGORY TYPE
ISSU_FUL Residenti City Sales/Use Tax $26. 0 6/29/0
Construction Type Occupancy Group
County Sales/Use Tax $7. 4 6/29/0
0 No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
Lot Block Lot Area Parcel No.
9726227060
Company Name Contractor License No.
ATIAS T In A CONST
Address City/State
PO ROX � T r �
Phone 9Sunervianr Cart Nn FOPT
(See reverse side for Inspection Description)
1�00
tiectncai License No.
0,� Mechanical License No.
0
Roofing License No.
H
Z Framing License No.
u
E0 Plumbing License No.
N
Concrete License No.
REMOVE EXISTING SHINGLES AND REROOF WITH 20 SQUARES OF ASPHALT SHINGLES
TAX BASED ON MATERIAL COST OF $880
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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, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name
Signature
Date I TOTAL FEES