HomeMy WebLinkAbout124 Yale Ave - Permits/Reroof - 09/04/2001Community Planning &Environmental Services g lJ I LD I N Q PERMIT
AMLBuilding & Inspections Division
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
500 00
City of F Phone (970) 221-6760 Fax (970) 224-6134 B 0 10 5 5 8 4
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 124 YALE AVE
PERMIT GATE 09/04/200 1
Building Permit w/o Subs
City Sales/Use Tax
Y
County Sales/Use Tax
$15.00
$1,50
$ 2 . D 0
9/4/01
9/4/01
9 /4 / O 1
PERMIT
TYPE ROOF RoofingReRoofIr1
- 9
PERMIT LEVEL ISSU FUL
CATEGORY TYPE RESIDENTIAL
Las ame, First, Middle Initial
ICK, DONALD
Construction Type
Occupancy Group
Z
3
Address
124 YALE AVE
City / State
FORT COLLINS, CO
wp No. of Stories 0
O
Building Height 0
O
Zip 80525-1746 Phone
No. 491-7049
Building Square Footage 0
Stock Plan/Options
Front Setback Rear
Setback
• •
Z
Right Side Setback Left Side Setback
owe
Z
• 1 •
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
R OO
Q
W
J
Lot Block Lot Area O ParcelNo.91243D9D1D
Name Contractor License No.
OCompany
Address
City/State
r
Z
Phone Supervisor Cert. No.
V
Electrical License No.
Mechanical
License No.
Roofing
ADVANCED ROOFING TECH
License No.
R-1161
z
0
Framing
License No.
m
Plumbing
License No.
in
Concrete
License No.
INSTALL EPDM RUBBER ROOFING ON BACK PORCH
5 SQUARES
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 null and void it 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.
o%PA�y OQnnez-—4sffhCo��GnACZ. 9-41-01
name of o er/agent Signature —U, Date
TOTAL FEES
$24.50
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