HomeMy WebLinkAbout3500 Rolling Green Dr - Permits/Reroof - 04/29/2003Community 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 ADDRESS35W ROLLINGGREENDRJ
PERMIT TYPE PERM
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
ce POUDRE PROPERTY SERVICE
Z Address City/State
3 3500 ROLLING GREEN BUILDING J FORT COLLINS, CO
Zip Phone No.
80525 224-9204
BUILDING PERMIT
Building Valuation
60302192 ACCOUNT
PERMIT DATE
04/29/2003 uilding Permit w/o Subs
EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
'''"'n No. of Stories Building Height
OBuilding Square Footage Stock Plan/Options
FEE
DATE PAID
$44.50
4/29/03
$60.00
4/29/03
$16.00
4/29/03
Front Setback Rear
Setback
0
Z_
Right Side Setback Left Side Setback
•
0
Z
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
R 0 0
-
J
Subdivision/PU D
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
0
8130318001
OCompany
Name
Contractor License No.
aAddress
City/State
F
Z
Phone
Supervisor Cert. No.
V
Electrical
License No.
W
Mechanical
License No.
0
Roofing
License No.
H
Z
AJ ROOFING-
Framing
License No.
V
Plumbing
License No.
m
rn
Concrete
License No.
TEAR OFF AND REROOF BUILDING J USING 40 SQUARES -INCLUDES DETACHED
GARAGE'J'
W
I —
As a 6oridition 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 t ate of the last inspection.
Print name of owner/agent Signatur Dale TOTAL FEES`