HomeMy WebLinkAbout115 N Roosevelt Ave - Permits - 09/28/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CitvofF phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 115 N ROOSEVELT AVE
PERMIT TYPE NSECR NEW SECONDARY RES BLDG PERMI
Last AlarGe.Gt" bAfflilt/PHELAN, JA
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Z AddrM N ROOSEVELT AVE city / StaFORT COLLINS, CO
O z" 80521 Phone No. 493-4209
Front Setback Rear Setback 8
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Right Side Setback
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File No.
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Lot 26
Mechanical
License
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Roofing
License
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Framing
License
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Plumbing
License
ER CONCREIE, INC. IucenseNO. Via
HOMEOWNER AFFIDAVIT ON FILE
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BUILDING PERMIT
Building Valuation
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09/28/2001
LEVEL ISSU FUL
p No. of Stories 1 Building Height 0
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1See reverse side for Inspection gescripl
SBF GL IN
FNB FNE FNP
110413025 FNM FD SPI
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ACCOUNT
Ian Check Fee
uHiling Permit w/ Subs
ity Sales/Llse Tax
ounty Sales/Use Tax
tormwater: Did Town
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 oin 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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
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Print name of owner gent Signature Date t TOTAL FEES
FEE I DATE PAID
$44.53 1/2/01
$-92.48 9/28/01
$120.00 9/28/01
$32.00 9/28/01
$60.82 9/28/01