HomeMy WebLinkAbout640 Monte Vista Ave - Permits/Reroof - 11/14/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
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Building & Inspections Division
FEES
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 Q 3 0 7 3 3 9
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 640 MONTE VISTA AVE
PERMIT DATE t /t ' ,l
1 l/ '14/2OCJJ
Building Permit w/o Subs
$38.5
1/' 9
1
PERMIT
TYPE PERMIT LEVEL
ROOF Roofing - ReRoofing ISSU_FUL
CATEGORY TYPE
Residential
City Sales/Use Tax
County Sales/Use Tax
$45.0
$ 121.0)
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11/ 14/03
11 / 14/C3
Last Name, First, Middle Initial
KELLEY, MARGARET R
Construction Type
Occupancy Group
Z
3
Address City/State
Cit
640 MONTE VISTA AVE FORT COLLINS, CO
p No. of Stories
O
U
Building Height
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Zip Phone No.
$0521-3514 482-7123
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
_Z
Z
• • • •
Right Side Setback Left
Side Setback
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Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
R00
J
wLot
-
Block Lot Area Parcel No.
0 91714209058
Company Name Contractor License No.
ORENNEN CUSTOM CONTRACT. 0 187
W
Address City/State
P.C. BOX 272167 FORT COLLINS CO 0521 2167
Z
Phone Supervisor Cert. No.
1-0
970 482 9100
Electrical License No.
d'
Mechanical
License No.
CRoofing
License No.
License No.
OFraming
U
Plumbing
License No.
co
rn
Concrete
License No.
TEAR OFF EXISTING AND REROOF USING 30 SQUARES
LU
MIDROOF INSPECTION REQ'D - PROVIDE LADDER AND PERMIT CARD
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 erm' or from the date of the last inspection.
AA
N01 V ,, fii' 411;1&-1 // -
name of owner/agent Signature Date
Print
TOTAL' FEES
$�