HomeMy WebLinkAbout1101 W Mountain Ave - Permits/Reroof - 10/29/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
,: .
-m.eT x K,''m'. P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
REAR
mpg Wo BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS Y1fi1 W MDUNTATN AVE
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Permit Type
RE -ROOF
Work Type Cateyor T
ALTERATION IiVKE FAMILY DETACHED
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Proposed Use
RESIDENTIAL
Use Zone Per tl,evpl
Pei
-
Subdivision u- PUD-U- Filing-
Subdivision/PUD
Building Valuation 155
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FRONT
Lot
Block
Parcel
�i 104-18-001
ACCOUNT
FEE
DATE PAID
Last
.AL.
First 3AMES
M.l. A
B_LCG PERMIT NON S
38.50
911029
Lot Area
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PITY SALES USE TA
0.00
911029
Address
City
Plat File No.
3
il'1 W MOUNTAIN AVE
FT COLLINS
O
State Zip
? 8uS21
Company Name
Phone No.
493-3 59
Contractor License No.
Off St. Parking
INSPECTIONS
OREQUIRED
H
Q
CALL 221-6769
Address
City
State
TO SCHEDULE INSPECTIONS
(See reverse side for
Zip Phone Sales Tax No.
U
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
R F
Building Square Footage
No. of Stories
Bldg. Height
TOTAL FEES
38.501
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
ry
O
o
TexpEAR :OFF ONE LAYER AND REROOF 'APPROX. 35 SOUARES :'.
SALES TAX PAID @ RETAILERS.
U
N
-
-
n
ZBA
Case No.
BBA Case No.
•
Permit No. �)�13f 7b
Pem`b'} @1 OBER 29. 1991
uL l
DEPARTMENT
SFATuS;
DATExrr�.�
•
•
As a condit n for the issuance of a permit, I hereby declare that I am
an owner 6r the owner's agent, authorized to perform the proposed
work on the property described herein. I agree to comply with all the
requirements contained herein, and City ordinances, and State laws
Mechanical
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Plumbing
#
Signatur
Date /; �
ORIGIN 7 FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD CARD