HomeMy WebLinkAbout2636 Sagebrush Dr - Permits - 03/04/2003Community Planning & Environmental Services
Building & Inspections Division
�i 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 ADDRESS 26M SAGEBRUSH DR
PERMIT TYPE PERMI
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
ce LINDEY HERMAN AT MTN PLAINS PRO
j Address City/State
920 S. TAFT HILL RD FORT COLLINS, CO
Zip Phone No.
80521 221-2323
Front Setback ❑on. Cc}h�n4
_Z Right Side Setback Left
Z
2 Plat File No. ZBA Case Number
BUILDING PERMIT
Building Valuation
B000100
ACCOUNT
PERMIT DATE
3/4/2003 Building Permit w/o Subs
EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
J auovrvisorvrw Filing
Q
wLot Block Lot Area O Parcel No.
8730117190
OCompany Name Contractor License No.
ATLAS ROOFING I CONST C1-154
g Address Cit /State
2220 SUNSTONE ORORT COLLINS, CO 80525
Z Phone Supervisor Cert. No.
0 970-226-4567
Electrical I License No.
License No.
OMechanical
Roofing
License No.
Framing
License No.
0
V
SOPlumbing
License No.
N
Concrete
License No.
REROOF WITH 17 SQUARES
TAX BASED ON MATERIAL OOST OF $525
8
W
ONo. of Stories O Building Height 0
V
Building Square Footage I Stock Plan/Options
(See reverse side
ROO
Inspection Description)
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 fro the ate of such permit or from the date of the last inspection.
avt�tk -3/4/05
Print n me of owner/agent S na re Date TOTAL FEES
$1 r?00.00
FEE I DATE PAID
$28.00
3/4/03
$15.75
3/4/03
$4.20
3/4/03
$47