HomeMy WebLinkAbout304 Peterson St - Permits/Reroof - 12/31/2003Community Planning & Environmental Services
BUILDING P E RM I T
PERMIT
Building & Inspections Division
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 a 7 9 5
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
304 PETERSONST
;1 :;1'2JC.3
Building Permit w/o Subs
$13.0
12/31/03
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Roofing -ReRoofin
ISSU FUL
Residential
City Sales/Use Tax
$15.7
12/31/03
Last Name, First, Middle Initial
Construction Type
Occupancy Group
W
RRY P I
County Sales; Use Tax
$4,2
12/31/03
Address
City/State
W
Q No. of Stories
Building Height
Z
3
1805 RAINBOW DR
FORT COLLINS CO
O
Zip Phone
No.
U Building Square Footage Stock Plan/Options
80524
482-7991
Front Setback Rear
Setback
Z_
Right Side Setback Left Side Setback
• • •
Z
1 '
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
R00
J
wLot
Block Lot Area Parcel No.
0 9112326012
Name Contractor License No.
OCompany
DRENNEN CUSTOM C NTRACT. D 187
Address City/State
F-
P.O. 80% 272167
FORT COLLINS CO 0527 2167
Z
Phone Supervisor Cert. No.
°
910 482 91Do
Electrical License No.
,r
R
Mechanical
License No.
U
H
Roofing
Framing
License No.
License No.
Z
U
Plumbing
License No.
cQ
N
Concrete
License No.
TEAR OFF AND REROOF USING 6 SQUARES TORCH ON ** DETACHED GARAGE
MIDROOF INSPECTION REQ'D - PROVIDE LADDER AND PERMIT CARD
W
As
ondition 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 rom a date of the last inspection.
TOTAL FEES
$38
name of owner/agent Signature Date