HomeMy WebLinkAbout1921 W Plum St - Permits - 12/09/2003Community Planning &Environmental Services BUILDING PERMIT
& Division
PERMIT FEES
Building Inspections
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 QI030781
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1921 W PLUM ST
PERMIT DATE 12/09/2003
8ui Idirig Permit w/o Subs
City Sales/Use Tax
County Sales/Use Tax
$38.5
$34.5
$9.2
12/9/03
12/9/03
12/9/03
PERMIT
TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
MUSTALIC.MJ
Construction Type
Occupancy Group
ce
Z
Address
City/State
p No. of Stories
Building Height
3
6950 E BELLVIEW AVE
GREENWOOD VILLAGE
O
V
Zip
80111
Phone No.
970-449-8689
Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
0
Right Side Setback
Left Side Setback
Z
• ••
Z
N
Plat File No. ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD
Filing
i♦00
_
Q
iu
Lot Block Lot Area Q Parcel No.
9715211022
Name Contractor License No.
OCompany
Address City/State
Z
0
Phone Supervisor Cert. No.
Electrical License No.
jy
0
Mechanical
License No.
QV
Roofing
License No. 7 7
ROOFINGBOB BEHRENDS
h , 7
Framing
License No.
Z
O
m�
Plumbing
License No.
N
Concrete
License No.
TEAR OFF TWO LAYERS AND INSTALL 23 SQUARES OF FELT AND HERITAGE SHINGLES.
MIDROOF INSPECTION AND PERMIT CARD REQUIRED.
I —
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
name of owner/agent Signature Date
TOTAL FEES
$82.2
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