HomeMy WebLinkAbout2954 Adobe Dr - Permits/Reroof - 01/20/2004Community 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 ADDRESS 2954 ADOBE DR
PERMIT TYPE PEF
ROOF Roofing ReRoofin
Last Name, First, Middle Initial
ce SILVER, STUART GENE
Z Address City/State
Z
t
O Zip Phone No.
BUILDING PERMIT
Building Valuation
B0400254 ACCOUNT
PERMIT DATE 0 I /20 2004 Building Yen@it N/o SuuS
LEVEL CATEGORY TYPE
ISSU FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
p No. of Stories Building Height
O
U Building Square Footage I Stock Plan/Options
80525-2406
482-9100
Front Setback Rear
Setback
0
Z_
Right Side Setback Left
Side Setback
Z
Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
J
Q
wLot
Block
Lot Area
Parcel No.
p
o 7 3ntr7n
Name
Contractor License No.
OCompany
G
n r n n
n 1i)7
a
Address
City/State
277167
:n n n 1 i IC 0591 7167
Z
Phone
Supervisor Cert. No.
Q
97048LI1,10inn
Electrical
License No.
a'
Mechanical
License No-
0
Roofing
License No.
H
Z
Framing
License No.
O
U
m
Plumbing
License No.
rn
Concrete
License No.
TEAR OFF AND REROOF WITH 19 SQUARES.
(See reverse side for Inspection Description)
ii�u
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 da e`of such permit r froEn the siate of the last inspection.
,kat, I V / -2 z)— —
Print name of owner/agent Si ture Date TOTAL FEES
FEE I DATE PAID I
$31.0 1i2c/o
$28.5 1/20/04
,pi.✓ 1/201104