HomeMy WebLinkAbout1028 Meadowbrook Dr - Permits/Reroof - 09/21/2000-11
Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
' PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building valuation $5,375.00
Fort Collins, CO 80522-0580 B0015742
CitvofF� ° Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAI[�:
JOB
SITE ADDRESS 1028 MEADOWBROOKDR FT -CO
PERMIT DATE09/21/200D
Buildup Permit W01Subs
3o"After TAX
County Sales/Use Tax
$56.50
$21.50
06121/20O
tJ9f21
09/21 /200i
PERMITTYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL ISSU FUL'
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Conspruction Type
Occupancy Group
CORDINER WILLIAM S
Address
City /State
p No. of Stories
Building Height
1028 MEADOWBROOK DR
FORT COLLINS, CO
O
Zip Phone
80521-4342
No.
484-1183
Building Square Footage
Stock Plan/Options
0
Front Setback Rear
Setback
REQUIRED INSPECTION'
�
Z
CALL 221-6769
Right Side Setback Left
Side Setback
Z
I
TO SCHEDULE INSPECTIONS
(Sep reverse si a or Inspection Description)
ROO
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
_
Q
Lot Block Lot Area 0 Parce'V15305068
Name Contractor License No.
OCompany
Address
City/State.
OPhone
Supervisor Cert. No.
V
Electrical License No.
Y
z
Mechanical
License No.
aG
02
t
Roofing
License No.
Z
MONTEY ROOFING
R-1170
Framing
License No.
m
hPlumbing
License No.
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REROOF TEAR OFF EXISTING GRAVEL ROOF THEN INSTALL A MODIFIED BITIJMEN
MEMBRANE ROOF
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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 gull and void if the work authorized by such permit is not
*9s
commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
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name of owner agent I UlWature Date `
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