HomeMy WebLinkAbout1550 Blue Spruce Dr - Permits/Reroof - 06/03/2003Community 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 ADDRESS,
PERMIT TYPE
PEF
ROOF
Roofing - ReRoofin
Last Name, First, Middle
Initial
NEIGHBOR TO
NEIGHBOR
w
Address
City/State
0
Zip
Phone No.
80525
221-1784
Front Setback
Rear Setback
0
Z_
Right Side Setback
Left Side Setback
Z
0
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD
Filing
J
Q
wLot
Block
Lot Area
Parcel No.
J
0
91 i (
W
Comoanv Name
I Contractor License No.
BUILDING PERMIT -
Building Valuation
B0303242 ACCOUNT
PERMIT DATE 1
.EVEL CATEGORY TYPE r U.fiding Permit w/o Sub
lty Sales/Use Tax
Construction Type Occupancy Group
p No. of Stories Building Height ounty Sales/Use Tax
OBuilding Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
R00
FEE
DATE PAID
$44.50
6/3/03
$49.50
6/3/03
$13.20
6/3/03
Address
City/State
H
Z
Phone
Supervisor Cert. No.
V
Electrical
License No.
Mechanical
License No.
Roofing
License No.
H
Z
-
Framing
License No.
V
Plumbing
License No.
m
V)
Concrete
License No.
TEAR OFF AND REROOF WITH 33 SQUARES
a condition for 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
ribed herein. I ree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
t that issuance as based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
enced, susperilled, abandoned or inspected within 180 day from the date of such permit or from the date of the last inspection.
rce
TOTAL FEES
it -name of wner/ gent Signature Date $107,20