HomeMy WebLinkAbout628 W Coy Dr - Permits - 04/15/2004Community Planning &Environmental Services BUILDING P E RM I TPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-05 80 .�
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 `1 7 4
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 628 W COY DR
PERMIT DATE
04 / I r 2>,,,, °
h ; g I, : / Sub-,
City Sales/Rise Tax
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County Sa.esju lax
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11,28.5
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A / 1 j /c
4/ 15/04
/ 4
4, 15;0Y
PERMIT
TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
NICOL ENTERPRISES
Construction Type
Occupancy Group
Z
Address
City/State
WQ No. of Stories
Building Height
3
PO BOX 728
FORT COLLINS. CO
O
O
Zip
Phone No.
Building Square Footage Stock Plan/Options
80522
Front Setback
Rear Setback
•
Z
Right Side Setback
Left Side Setback
• •
Z
IV
Plat File No. ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD
Filing(ii
_
Q
wLot
Block Lot Area Parcel No.
10i+�ii4�ta
. J 1
Name Contractor License No.
OCompany
U
Address City/State
1--
Z
O
Phone Supervisor Cert. No.
Electrical License No.
W
Mechanical
License No.
0
Roofing
License No.
cH1 t1KA Jn 0F= Ir
n ;Goa
Ij
License No.
OFraming
V
m
Plumbing
License No.
Concrete
License No.
TEAR OFF AND REROOF WITH 19 SQUARES.
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 fr a date of the last inspection.
01
% J�
/ _..._..r/^C l
nt name of owner/agent Sinatu a gDate
TOTAL FEES
$67,1
riP'