HomeMy WebLinkAbout115 N Roosevelt Ave - Permits - 08/10/1994DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769�
BUILDING PtRMITr
Cr o _o s
JOB SITE ADDRESS 115 N ROOSEVELT AVE
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Permit Type
Work Type
CategoiY Type
RE —ROOF
ALTERATION
imily Detached
w
a
Proposed Use
RESIDENTIAL
Use Zone
Permit Level
FULL/FINAL
Subdivision PUD
Filing
PERMIT FEES
Q
w
Subdivision/PUD
Building Valuation
2182
Lat
Block
Parcel No
97104-13-025
ACCOUNT
FEE
DATE PAID
Last
UNDERHI
First
JASON
M.I.
BLOB PERMIT NON 5
38.50
E
CITY SALES USE TA
19.05
Address
City
Z
115 N ROOSEVELT AVE
FORT COLLINS
State,
CO
dip
80521
Phone No.
493-2334
O
¢
Company Narne
FM ROOFiING
Contractor License No
R-400
Q
Address
1623 S. LEMAY AVE
City
FT COLLINS
State
CO
Zip
80525
Phone
221-1388
Sales Tax No.
1 18596
C)
Construction Type'
Occupancy Group
Fire Sprinkler
Building Square Footage
No. of Stories
Bldg. Height
TOTAL F'fES
57.55
ir
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
O
No. of Dwelling Units
No. of Bedrooms
No. of Bathrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
ZO
Tex
RE —ROOF 17 SQUARES REMOVING 2—LAYERS AND INSTALLING T—LOCKS ALSO TAX IS
BASED ON $635.00 FOR MATERIAL ONLY
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N 0942479 AUGUST 91 1994 DEPARTMENT
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 the requirements contained herein,
and 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
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.
STATUS I DATE
SITE SETBACKS
REAR
LEFT
FRONT
RIGHT
CALL 221-6769
TO SCHEDULE INSPECTIONS
(See reverse side for
Inspection Description)
1119