HomeMy WebLinkAbout1136 E Stuart St - Permits/Reroof - 04/15/2004Community Planning & Environmental Services
Building & Inspections Division
- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 1136 E STUART ST
PERMIT TYPE PERMIT
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
KIEFT CLOYD HOFFMANN
Z Address City/State
3 1136 E STUART ST #2-2100 FORT COLLINS, CO
O Zip 80525 Phone No.
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BUILDING PERMIT
Building Valuation
B0401659 ACCOUNT
PERMIT DATE / 1 r .� t 1 0,. L. 'Jabs
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Construction Type Occupancy Group y / , T
Vou!i y Sales(�]e Iax
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Right Side Setback Left
Side Setback
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Plat File No.
ZBA Case Number
Zoning District
Subdivision/PUD
Filing
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wLot
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Block
Lot Area
0i,11922900
Parcel No.
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OCompany
Name
Contractor License No.
QAddress
City/State
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Phone
Supervisor Cert. No.
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Electrical
License No.
d. Mechanical
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Roofing
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Z Framing
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co Plumbing
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Concrete
License No.
License No.
License No.
License No.
License No.
TEAR OFF SHAKES AND INSTALL 30 YR DIMENSIONAL SHINGLES.
As a condition for the issuance of a permit, I hereby declare that I am an owner or the
described herein. I agree to comply with all City ordinances, and State laws associat I
event that issuance was based on incorrect or incomplete information. This permit
commenced, suspended, abandoned or inspected within 180 days from the date
Print name of owner/agent lgnature
w No. of Stories Building Height
OI Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
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agent, authorized to perform the proposed work on the property
ork. I understand that such permit may be revoked in the
oll'hull and void if the work authorized by such permit is not
or from the date of the last inspection.
Date TOTAL FEES
$12.0,840.00
FEE I DATE PAID I
$146.J
4 1tj/04
$312.6
4/15/04
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