HomeMy WebLinkAbout1020 Doctors Ln - Permits/Reroof - 02/25/2004Community Planning & Environmental Services
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort coning phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 1020 DOCTORS LN
'ERMIT TYPE
ROOF Roofing - ReRoofin PERI
Last Name, First, Middle Initial
W I
w Address
3 Cl
0 Zip
Ph
Front Setback
_Z Right Side Se
Z
Plat File No.
J
Q
0
J Lot
Company
Phone
one No.
21
Rear Setback
Left Side Setback
ZBA Case Number
Block Lot Area
Contractor License
City/State
Zoning District
Parcel No.
BUILDING PERMIT'
PERMIT FEES
Building Valuation
B0100938
ACCOUNT
FEE
DATE PAID
PERMIT DATE
4
EVEL CATEGORY TYPE
ISSU FUL Non Res Bld Cons
Construction Type Occupancy Group
SuildIn Permit w/o Subs
City Sales/Use Tax
h"4 2/25,04
'kw '
$40.3 2/25/04
W
Ccunty Saes/Use Tax
$ i 0. ; 2/25; 04
pO
V
No. of Stories
Building Height
Building Square Footage I Stock Plan/Options
License No.
cle Mechanical
R
License No.
H
Roofing
License No.
H
O Framing
License No.
V
� Plumbing
License No.
Concrete
License No.
lU
w
(See reverse side for Inspection Description)
non
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REMOVE AND REPLACE 34 2/3 SQUARES. TAX BASED ON $ 1344.00 MATERIALS.
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.
Print name of
bignature
Date
TOTAL FEES