HomeMy WebLinkAbout1115 W Mountain Ave - Permits/Reroof - 08/10/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
go) 221-6769
City Of fbIrt C0111118 BUILDING PERMIT
JOB SITE ADDRESS 111 s W MOUNTAIN AVE
Part LyffO OF ""WLTYTRATION callynVie Family Detached
T p`ciY TIAL Use Zone Peril tfLvqL/FINAL-
Subdivision PUD [:] Filing
PERMIT FEES
< Subdivision/PUD wildin Valu I
SITE SETBACKS
REAR
LEFT RIGHT
9 am
330
FRONT
Lot
Block
rtal No. po-7oU-I
ACCOUNT
FEE
bArt PAID
La tARRISON
First VERLA
BLDG PERMIT NON S
38.50
Lot Area
T
CITY SALES USE to
34.95
Ad'
City
Z
IM s W MOUNTAIN AVE
FORT COLLINS
Plat File No.
O
Stale CO 1Zip
BOS21
c"90-749ff,'DER ROOFING
Phone
5 44
Contractor ce9sp,No. ,
Off St. Parking
0
REQUIRED INSPECTIONS
<
F
Adt!js� 0
fl) N MONROE
City
LOVELAND
Stat
I 'to
CALL 221-6769
Z
TO SCHEDULE INSPECTIONS
Zip Phone Sales
0
Tax No. 3
80S37 224-3K.,
(See reverse side for
construction Type Occupancy Group Fire Sprinkler
lNo,
Inspection Description)
fit
: Building Square Footage,
I
of Stories-
Bldg Height
TOTAL FEES
7
7Z. 4 5-
W
Occupant Load
-
Occupancy Separation
Area Separation
Fire containment
O
I
I
1
No. of Dwelling Units No at BedroomsI No. of Bathrooms lFireplace/Stoves
Basement
I Stock Plan
lOptions
ry
7
1
Z
0
re%fear off one layer of ocmp shingles overlay wood shingles
felt and 25 yr class a 3 tabs
U
0
10AUG33
AA
)ERMIT
$38.50fff
10AUQ13
AA N13
TAX PR
$34.195' T
AMTPUE
$7-3.45
CIRECK
f= I CZ
�f -,. -tj
°ermitNo 0uc114 Vim/
p`""A?JtUST 10. 1993 b15PAR7MENt SUB CONTRACTORS
As a conditio for he issuance of a permit, I hereby declare that I am an owner Electrical
or the owner' 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 associated with such work. I understand that Mechanical
such permit may be revoked in the event that issuance was based on incorrect
information. This permit shall become null and void if the work authorized by
such permit is not commenced, suspended, abandoned, or not inspected within
180 days frog; the a -ate of such per it.
Plumbing
signature Z /love 1�� Date �—r3
)RIGINAL - FILE. BLUE - OFFICE, CANARY - SALESTAX. PINK - APPLICANT, TAG FIELD CARD