HomeMy WebLinkAbout1201 W Mulberry St - Permits/Reroof - 06/10/2003Community 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 ADDRESS1201 W MULBERRY ST
PERMIT TYPE
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
SABEY, BURNS RAND ELAINE
Z Address City/State
3 3505 CANADIAN PKWY FORT C(
0 Zip Phone No.
80521 1 484-3512
0
Z Right Side Setback Left Side Setback
Z
14 Plat File No. ZBA Case Number Zoning District
BUILDING PERMIT
Building Valuation
B0303447 ACCOUNT
05 uilding Permit w/o Subs
PERMIT LEVEL CATEGORY TYPE
ISSU FUL Residential jity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
ONo. of Stories Building Height
— Building Square Footage Stock Plan/Options
1 I ,
wLot Block Lot Area Parcel No.
0 9715108001
ce Company Name Contractor License No.
ATLAS ROOFING I CONST C1-154
Address City/State
2220 SUNSTONE 0R fORT COLLINS CO 80525
Z Phone Supervisor Cert. No.
oou 970-226-4567
License No.
p[
mecnanicai
License No.
0
Roofing
License No.
F-
Z
Framing
License No.
8
m
Plumbing
License No.
N
Concrete
License No.
8
W
(See reverse side for Inspection Description)
ROO
TEAR OFF AND REROOF UPPER ROOF ONLY WITH 10 213 SQUARES. TAX BASED ON $500 MATERIALS
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 d to of such permit or from the date of the last inspection.
- 4, �7—
ekn
Ae. of owner/agent Signatur Date �� TOTAL FEES
FEE I DATE PAID
$19.00 6/10/03
$15.00 6/10/03
$4.00 6/10/03
$38.00