HomeMy WebLinkAbout132 Yale Ave - Permits - 02/12/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
M , 4P.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 4 0 0 7 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
132 YALEAVE
:2 ,12 : 20
uuild'Mig Permit N/o subs
$38.5
2/ 12/04
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Roofing- ReRoofin
ISSU FUL
Residential
City Sales/Use tax
$34.5
2/12/04
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Cauaty Sales Use tax
$9.2
nV 2/4,21104
Address
City/State
C) No. of Stories
Building Height
Z
3
132 YALE AVE
FORT COLLINSo
O
Zip
Phone No.
Building Squ"Footage Plan/Options
80525-1746
4?Z-9704Front
Setback
Rear Setback
Z
Right Side Setback Left Side Setback
• ••
Z
Q
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
i iiv
a
wLot
Block Lot Area Parcel No.
J
0 n :I
Name Contractor License No.
OCompany
V
Q
dH
Address City/State
Z
O
Phone Supervisor Cert. No.
V
Electrical License No.
0::
0
Mechanical
License No.
Roofing
License No.
n n r i tun
n
License No.
OFraming
V
°a
Plumbing
License No.
N
Concrete
License No.
TEAR OFF TWO LAYERS AND INSTALL 23 SQUARES OF TAMKO 30 YR LAMINATED SHINGLES.
As
a co di Ion 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 f suc it or from the date of the last inspection.
_ /�
TOTAL FEES
$2 2
Print
name of o er/agent re Date