HomeMy WebLinkAbout5533 Golden Willow Dr - Permits/Reroof - 01/14/2003Community 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 ADDRESSw33 GOLDEN WILLOW DR
PERMIT TYPE PER
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
ce &4RMORE KATHY
LU
Z Address
Z City/State
3 5533 GOLDEN WILLOW DR FT OOWNS, CO
U Zip Phone No.
80528 282-7330
Front Setback
Rear Setback
0
Z
Right Side Setback
Left Side Setback
Z
0
Plat File No.
ZBA Case Number
Zoning District
J
Subdivision/PLID
Filing
Q
wLot
Block
Lot Area
Parcel No.
0
86064
OCompany
Name
Contractor License No.
QAddress
r;itv/Stafa
BUILDING PERMIT
Building Valuation
EB0300158 ACCOUNT
PERMIT DATE
1 14 2003 Wilding Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL I Residential ity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
p No. of Stories Building Height
O 0 0
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
R00
ciecmcai
License No.
Q�
Mechanical
License No.
Roofing
License No.
ADVANCED ROOFING TECH
R-11 I
Z
Framing
License No.
U
Plumbing
License No.
N
Concrete
License No.
TEAR OFF TO DECK. INSTALL 30t FELT AND 42.66 SQUARES OF CLASS A LAMINATE SHINGLES
LU
W
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. i
AWaAoee, /
Print name of owner/agent Signature ' Date TOTAL FEES
FEE DATE PAID
$50.50 1/14/03
$63.99 1/14/03
$17.06 1/14/03
$131.55