HomeMy WebLinkAbout1800 Centennial Rd - Permits/Reroof - 06/21/2004Community 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 180o CENTENNIAL RD
PERMIT TYPE
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
FEBINGER, GEORGE N
Uj
Address City/State
3 18M CENTENNIAL RD FORT O
U Zip Phone No.
80525-4702 490-8771
BUILDING PERMIT
Building Valuation
B0403961 ACCOUNT
PERMIT DATE
06/21/2004 Building Permit w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
w No. of Stories
CO o
0
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
a
wLot Block Lot Area Parcel No.
J 0 8730460001
Address City/State
Phone I Supervisor Cart. No.
Electrical I License No.
oc
Mechanical
License No.
0
Roofing
License No.
F—
Z
Framing
License No.
V
m
Plumbing
License No.
D
to
Concrete
License No.
TEAR OFF AND REROOF WITH 28 SQUARES.
Building Height
Plan/Options
(See reverse side for Inspection Description)
II00
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 p4ch permit from the date of the last inspection.
I'Print rienfe of owner/agent Signature e TOTAL FEES
FEE I DATE PAID I
$38.5
$42.0
$11.2
6/21/04
6/21/04
6/21/04