HomeMy WebLinkAbout523 N Grant Ave - Permits/Reroof - 06/06/2003�i.7
Community Planning &Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
BUILDING
PERMITPERAUT
Building Valuation
FEES
�-
Fort Collins, CO 80522-0580
City of Fort Collins
phone (970) 221-6760 Fax (970) 224-6134
B 0 3 0 3 1 2
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 523 N GRANT AVE
PERMIT DATE
r
ui (ding Permit w/o Subs
ity Sales/Use Tax
ounty Sales/Use Tax
$28.00
$25. 50
$6.80
6/6/03
-
6/6/03
6/6/03
PERMIT TYPE
ROOF Rooting - ReRoofin
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
Residential
LU
Z
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Address
523 N GRANT AVE
City/State
FORT COLLINS, CO
wp No. of Stories
0
Building Height
Zip
80521-1923
Phone No.
493-8881
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback • • •
• � •
ZZ Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdlvision/PLID Filing R 0 0
J
Q
wLot Block Lot Area Parcel No.
0 9711215015
Comoanv Name Contractor License No.
Address
Phone
Electrical
License No.
O
Mechanical
License No.
Roofing
License No.
HSCHROEDER-
Z
0
Framing
License No.
U
Plumbing
License No.
m
c�
Concrete
License No.
TEAR OFF EXISTING SHAKE AND REROOF USING 17 SQUARES
V
As a condition for the issuance of a permit, I hereby declare that I am an own or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply w' all City ordinances, and State laws ass iated with such work. I understand that such permit may be revoked in the
event that issuance was based o orrect or incomplete information. This per it shall become nul d void if the work authorized by such permit is not
com nc ,suspended, a ned or i ected within 180 days fr m the da of such permit r m e date of the last inspection.
Ile ('�- n
"" TOTAL FEES
Prin a of-owner/agent sWature Date $