HomeMy WebLinkAbout806 Smith St - Permits - 06/23/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS806 SMITH ST
'ERMIT TYPE PER
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
� KO EN, GLENN W/KATHLEEN
Z Address City/State
3 121 N SHERWOOD ST FORT COLLINS CC
Zip Phone No.
80521-2655 484-0190
BUILDING PERMIT
Building Valuation
B0303824 AccoulvT
PERMIT DATE
05 23 2003 lui Iding Permit w/o Subs
EVEL CATEGORY TYPE
ISSU_FUL Residential ity Sales/Use Tax
Construction Type Occupancy Group
ounty Sales/Use Tax
in in No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
Z Right Side Setback Left Side Setback •
Z
N Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description) -
J Subdivision/PUD Filing ROD
a
wLot Block Lot Area Parcel No.
Company Name 0 9713235024
(� Contractor License No.
Phone
OMechanical
License No.
F-
Roofing
License No.
Z
Framing
License No.
U
�
I
Plumbing
i
License No.
V)
Concrete
License No.
TEAR OFF AND REROOF SECTION THAT WAS DAMAGED IN THE BLIZZARD OF 2003 USING 7 SQUARES
81 I
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 fro the date of such p it or from the date of the last inspection.
45441`1-H _ �3 _ ��
Print name of owner/agent Signature Date TOTAL FEES'
FEE
DATE PAID
$15.00
6/23/03
$10.50
5/23/03
$2.80
6/23/03