HomeMy WebLinkAbout4808 Chippendale Dr - Permits/Reroof - 09/19/2006Community 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
CHIPPENUALE DR
PERMIT TYPE PER
Last Name, First, i d e nitial
onZruction Type
Occupancy Group
LU
RIG ME) D
Addre s
City/State
p
No. of Stories
Building Height
FORT GO
O
O
Zip Phone
36
No.
Building Square Footage
Stock Plan/Options
Front ANP Rear
Setback
0
Z
Right Side Setback Left
Side Setback
Z
N
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
R 00
Subdivision/PUD
Filing
Q
�j
Lot
Block
Lot Area
Parcel No.
J
7
OCompany
Name Contractor
License No.
Addre s City/State
FORT
Ell
Phone
Supervisor Cert. No. r
O
V
Electrieaf
License No.
Mechanical
License No.
GQQ
Roofing
License No.
02
FramiAARTNERS Rooffllle
1212
License No. It
m
Plumbing
License No.
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to
ate License No.
TEAR OFF EXISTING SHINGLES AND INSTALL 37 SQUARES OF 50 YR ELK SHINGLES
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.
��Ct,�c�� 9-19- o 6
Print name of owner/agent Signature Date