HomeMy WebLinkAbout4106 Clayton Ct - Permits/Reroof - 08/28/198677- Ulty ®f Fort CollinS BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERMIT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address 4106 Clayton
Name Lee Reep
c
Mail Address 4106 Clayton
o
Fort Collins CO 80525
Phone 223-3219
o
Name Choice Roofing
16
m
-
Address 3020 West Prospect
C
0
O
License No. S-583
Phone 221-4137
S
Lot
Block
Filing Number
Subdivision
PUD
o
Parcel # 0,314 - 13 - 0 02-
DESCRIPTION OF WORK
Shake Tearoff
Reroof w/ shakes
30 Squares
50% Materials
50% Labor
Stock Options
Plan No. Codes
Est. Total Cost
(including labor, material, profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction.
e Z
L signed date
— CL
S OF WORK —
New Alt ati
❑
Addition Demolish
❑ ❑
Move
❑
Plbg. Mach.
❑ ❑
Elec. Struct.
❑ ❑
Fire Prot.
❑
Occ. Gr. Type F
onst. Use Zone
Use of Building
Floor Area
Height
No. Stories
Lot Ar
t e
Occ. load
cc.
han r m
Plat Fil o
o.
Garage area
F' smt. area
Type heat.
No. Fireplaces or stoves
— RELEASES —
Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation
FEES
Plan Check
Permit
Parkland
City Sales Tax
St. Oversizing
Water Plant Investment
Sewer Plant Investment
Storm Drainage
Electric Underground
Total Fees
i
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
_A
a
i
A
in
m
in
c
2
"V LL
Street
C
O
at
ZBA Case #
Date
BBA Case #
Date
Building Insp
pproval
by
date
Permit No.
Date
J
Distribution: Original Ap nt; Blue -Office; Canary -Sales Tax; Pink - Applicant; Tag -Bldg, Insp.