HomeMy WebLinkAbout1101 Baker St - Permits/Reroof - 09/01/2006Community Planning & Environmental Services
Building & Inspections Division
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
PERMIT TYPE PER
Last Name, First, Middle Initi
fie
Z Address
City/State
0 Zip I Phone Nn.
FORT- ry'll I INS
_Z Right Side Setback
Z
0 Plat File No. I ZBA Case Number
a
wLot Block Lot Area
J
Company Name
W Mechanical
0
Roofing
H
Z Framin
0
U
m Plumbing
N
Concrete
RE ROOF 20SQ
Left Side Setback
Zoning District
Filing
Parcel No.
t
Contractor License No.
City/State
cI-ORT C1011
ills, nn
License No.
License No.
License No.
License No.
License No.
License No
LDING PERMIT PERMIT FEES
Building Valuation
B06041 ACCOUNT FEE DATE WPAID
PERMIT DATE
LEVEL CATEGORY TYPE 1 r I `''(1 ' ` Building hermit w/o Sub $J[. 9/1/0
Construction Type Occupancy Group Rneitlanti I City Sales/Use Tax $M 0 9/1/0!n1
LLJ
a No. of Stories Building Height County Sales/Use Tax $ B , U 9/1/0(
0
U Building Square Footage I Stock Plan/Options
lk—
(See reverse side for Inspection Description)
Q00
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, suspe ed, ando d or inspected within 180 days from the date of su rmit o om the date of the last inspection.
Print na a of o er/agent Sig re Date TOTAL FEES