HomeMy WebLinkAbout2554 Orchard Pl - Permits - 03/08/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
�It•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 4 0 11 5 0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 2554 ORCHARD RL
PERMIT DATE
0 „8 /210104
Bui ldmy Permit w/o Subs
City Sales/Use ;az
County Sales/Use lax
$1 f . i
$16.0
$4.0
JJ U(/U4
3/8104
Jf8//C4
PERMIT
TYPE
ROOF Roofing - ReRooting
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential.
Last Name, First, Middle Initial
WOOLDRIDGE JEFFREYB
Construction Type
occupancy Group
Address
City/State
WQ No. of Stories
Building Height
w
3
2554 ORCHARD PL
FORT COLLINS CO
0
Zip
Phone No.
Building Square Footage Stock Plan/Options
O
80521-3155
581-9997
Front Setback
Rear Setback
•
Z_
Right Side Setback
Left Side Setback
• •
Z
• •
N
(See reverse side for Inspection Description)
` 0
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
_
Q
wLot
Block Lot Area Parcel No.
a 9716220C14
Name Contractor License No.
OCompany
V
Q
Address City/State
dH
Z
O
Phone Supervisor Cert. No.
V
Electrical License No.
ce
0
Mechanical
License No.
Roofing
License No.
-ntc 2 001un
n
Framing
License No.
Z
0
m
Z)
Plumbing
License No.
V)
Concrete
License No.
TEAR OFF EXSITING SHINGLES TO DECK AND REROOF GARAGE ONLY WITH 10 SQUARES
X
H
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.
LC%o j
TOTAL FEES
$365
c�a 3�g�f
name of owner/agent Signature Date
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