HomeMy WebLinkAbout909 Elm St - Permits/Reroof - 04/26/2004Community Planning & Environmental Services
Building & Inspections Division
1, _ §
(Em�K;N;W- 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 ADDRESS 909 ELM ST
PERMITTYPE ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
� RE Z, GERALD IN/JEAN
BUILDING PERMIT
Building Valuation
B0402415
ACCOUNT
PERMIT DATE /.� f / r, , t r.t n ' I• C k
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PERMIT LEVEL ISSU FUL CATEGORY TYPE Residential
Construction Type I Occupancy Group
Z Address City/State
3 909 ELM CT FORT COLLINS. CO
O Zip Phone No.
80521-1817 498-0869
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Z_ Right Side Setback Left Side Setback
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0 Plat File No. ZBA Case Number Zoning District
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LOU I Lot Block Lot Area 0 1 Parcel No. r� (�
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Address I City/State
Phone
License No.
Mechanical
License No.
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Roofing
License No.
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Framing
License No.
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Plumbing
License No.
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Concrete
1 License No.
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p No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
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REMOVE THREE LAYERS OF THREE EXISTING. REPLACE SMITH 19 SQUARES OF GAF 25 YP, 3-TABS.
AVI IS PROVIDING LABOR ONLY - MATERIALS PROVIDED BY HOME DEPOT.
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 a of such pe it or fr the date of the last inspection.
Print name of owner/agent nature Date TOTAL FEES
$2,280.00
FEE I DATE PAID
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$38.