HomeMy WebLinkAbout4501 Boardwalk Dr - Permits - 10/02/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMIT'PERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 6 5 3
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
45C11 BOARDWALK DR
10u2 21003
8uiluirig Permit w/o Subs
$44.5
10/2/03
PERMIT
TYPE PERMIT LEVEL
ROOF Roofing - ReRoofin IRS( FUL
CATEGORY TYPE
Residential
City Sales/Use Tax
$51.0
10/2/03
Last Name, First, Middle Initial
Construction Type
Occupancy Group
W
YG
LLJCounty
Sales/Use ax
$13.6
1G/2/03
Address
No. of Stories
Building Height
Z
City/State
C)
O
FORT COLLINS CO
zipV
O
Building Square Footage Stock Plan/Options
80525 Phone No.
Q55'0600
Front Setback
Rear Setback
•
_Z
Z
Right Side Setback Left
Side Setback
• •
�
Plat File No. ZBA Case Number
Subdivision/PLID
Zoning District
Filing
(See reverse side for Inspection Description)
non
J
wLot
Block Lot Area Parcel No.
(� {
Q 9736413GG2
Name Contractor License No.
OCompany
U
Address City/State
I—
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
V
Roofing
License No.
n rn r n
Framing
n no
License No.
Z
O
V
Plumbing
License No.
Co
Concrete
License No.
OVERLAY EXISTING ROOFING (APT COMPLEX) WITH 34 SQUARES
V
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 if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
—p
name of owner/agent Signature �p Date 3
Print
TOTAL FEES
$1 09 1