HomeMy WebLinkAbout831 Boltz Dr - Permits/Reroof - 04/27/2004Community Planning & Environmental Services
BUILDING PERMIT
Building & Inspections Division
P.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
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 831 BOLTZ DR
PERMIT DATE /t
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PERMIT TYPE
ROOF Roofing-P,eRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
C;ty Sales/Use Tax
$2C.5
4,21,04
Last Name, First, Middle Initial
Construction Type
Occupancy Group
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BAILEY, AUSTlP1 GLEN�l. JP
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Address
934 E RIDGECREST RD
City/State
FORT COLLINS, CO
w No. of Stories
0
O
Building Height
O
Zip
80524
Phone No.
481-8801
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
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Right Side Setback
Left Side Setback
,
Z
(See reverse side for Inspection Description)
0
Plat File No.
ZBA Case Number
Zoning District
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Filing
Compan Name
Aiin5 10vFINC & vy�.T
Address (�
525 IA�T HILL RV
P017 U 404 1'11
Q' Mechanical
0
F—
Roofing
H
Z Framing
O
U
m Plumbing
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Lot Area 0 Parcel No. 9 i 2 5 4 C 6 u 2 9
Contractor License No.
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City/State COr VIiT COLLINS,GV CVJZJI
No.
No.
License No.
License No.
License No.
License No.
TEAR OFF AND REROOF USING 19 SQUARES - TAXES ON MATERIAL COST $684.00
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.
Print name of owner/agent
I
Date
TOTAL FEES
$56.