HomeMy WebLinkAbout2019 Brookwood Dr - Permits/Reroof - 10/17/2001Community Planning Environmental Services BUILDING PERMITPERMIT FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave. Building valuation
Fort Collins, CO 80522-0580 $3,500.00
City ofF 1 c�� phone (970) 221-6760 Fax (970) 224-6134 B01 Q653d
]ACCOUNT FEE DATE PAID
JOB 51TE ADDRESS 2019 BROOKWOODDR PERMIT DATE 10/17/2001 Buxlding Permit K $44.50 0/17/01
PERMITTYPE ROOF Roofing - ReRoofing PERMIT LEVEL ISSU_FUL CATEGORY TYPE RESIDENTIAL City Sales/Use Ti$.52.50 0/17/01
La$�y�F1� tgt,ti IAS W/WILMA M Construction Type Occupancy Group ourity Sales/Use $14. 00 0/17/01
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Z AdQ MSI BROOKWOOD DR city / St#bRT COLLINS. CO O Na. of Stories Building Height
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0 Z'P80525-1235 Phone No. 416-7911 Building Square Footage Stock Plan/Options
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Front Setback
Rear Setback
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Right Side Setback
Left Side Setback
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Plat File No.
ZBACase Number Zoning District
(See reverse side for Inspection
ROO
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Subdivislon/PUD
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Lot
Block
Lot Area
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Parcel
W719210009
Name
Contractor License No.
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Address
City/State
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Phone
Supervisor Cart. No.
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Electrical
License No.
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RMechanical
License No.
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Rn�INT'S ROOFING
License No.R-1298
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Framing
License No.
Plumbing
License No.
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Concrete
I License No.
REN'40VE SHAKES. REROOF WITH 35 SQUARES OF OWENS CORNING 30 YR DIMENSIONAL SHINGLES
As a cond pn 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 perein. 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 p it shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or not inspected within 180 days a ate of s permit or from the date of the last inspection.
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Print name of own r/agent Agp4tTre Date !� TOTAL FEES