HomeMy WebLinkAbout1901 Langshire Dr - Permits - 03/11/2004Community Planning & Environmental Services
PERMIT
Building & Inspections Division BUILDING PERMIT
FEES
1Z 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 1 101
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 1901 LANGSHIRE DR
PERMIT DATE
PERMIT
TYPE
j2004
Bu i I u" il nq Perm it w/o Subs
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�lSI IIIA
/ / U Y
PERMIT LEVEL
ROOF Roofing-ReRoofing ISSU_FUL
CATEGORY TYPE
Residential
Sity Sales/Use Tax
ounty Sales/;se tag
$63.3
3/11/04
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Last Name, First, Middle Initial
MCCAFFREY TERENCE BURNS
Construction Type
Occupancy Group
Z
15.9
3/I t j04
Address
City/State
In No. of Stories
Building Height
3
1600 DUNMOOR
ST LOUIS MO
O
V
Zip 63131
Phone No.
O
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
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Z
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Right Side Setback Left
Side Setback
N
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
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Q
wLot
Block Lot Area Parcel No.
0 972 12193nu, V1
Name Contractor License No.
OCompany
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a
dH
Address City/State
0
or Cert. No.
V
Electrical License No.
oe
Mechanical
License No.
Roofing
License No.
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Framing
r: i 4C t
License No-
Z
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Plumbing
License No.
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Concrete
License No.
REMOVE RIDGE AND RESHINGLE WITH 42.2 SQUARES OF 30 YR OWENS CORNING CLASS A SHINGLES.
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.
�J�ytAJl JC J� I
name of owner/agent Signature Date
Date
Print
TOTAL FEES 1
$130 6