HomeMy WebLinkAbout604 Powderhorn Dr - Permits - 09/22/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 604 POWDERHORN DR
PERMIT TYPE pE
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
JENNINGS, JACKIE J
w Address
Z City/State
3 604 POWDERHORN DR FORT COLLINS,
O ZIP Phone No.
80526-2607 229-0967
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
J Subdivision/PUD Filing
a
wLot Block Lot Area Parcel No.
0 972623
Company Name I Contractor License No.
BUILDING PERMIT
Building Valuation
B0306243 ACCOUNT
PERMIT DATE
Z, 4/12003 Building Permit w/o Suus
RMIT LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
CO O No. of Stories Building Height
V Building Square Footage I Stock Plan/options
3002
(See reverse side for Inspection Description)
"00
a Haaress City/State
Z Phone Supervisor Cert. No.
V
Electrical License No.
W Mechanical License No.
R
Roofing License No.
WILLIAMS &SONS ROOFING 1465,
F-
ZZ Framing License No.
V
Plumbing License No.
Concrete License No.
TEAR OFF TWO LAYERS OF 27 SQUARES OF T-LOCK. FELT IN 27 SQUARES WITH 30# FELT PAPER AND
CAPNAIL. INSTALL NEW PIPEFLASHING AND VALLEY METAL SHINGLES WITH 30 YR SHINGLES.
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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 an id if a work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 day from the, date of such permit or fro th to f the last inspection.
r
se
Print name of owner/agent Signa ure Date TOTAL -FEES
FEE DATE PAID
$44.5 9/221103
$54.9 9/22/03
$14.6 9/22/03
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