HomeMy WebLinkAbout1625 W Elizabeth St - Permits/Reroof - 06/21/2004 (6)Community Planning & Environmental Services
Building & Inspections Division BUILDING PERMIT
PERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134
80403992
JOB SITE ADDRESS 105 W ELIZABETH ST CLUB
PERMIT DATE
06/21 /2004
hildial Perelt w/o Salts
�44.5
6/21/04
PERMITTYPE
ROOF g
Ro ng - ReRr0ttn
PERMIT LEVEL 13SU_FUL
CATEGORY TYPE
Retadent w
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$# 10
Last N First, hti Ini
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Construction Type
Occupancy Group
W
Adtlra�s
Gouat Sales/We lax
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$12.2
6/21/04
_ E BOARDWALK DR
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City/grate FORT COLLINS,CO
O
No. of Stories
Building Height
i
Zip pkr
V WG,7
Phone No.
3%7-1826
V
Builtling Square Footage Stock Plan/Options
"'
Front Setback
Rear Setback
0
Right Side Setback
61,
I
i
Z
Left
Side Setback
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
J I'
Subd'rvlslon/PUD
Filing
R0O
Lot
Block
Lot Area
O
Parcel No.
9715320001
OCompany
Name
Contractor License No.
i
QAddress
City/State
Phone
upervisoi Cart. No.
V
Electrical
License No.
OMechanical
I
Ucense No.
G
Roofing
License No.
ZO
1
Framing
License No.
V
m
�
Plumbing
license No.
N
f
Concrete
License Ne.
f
CLUBHOUSE "" TEAR OFF DOSTINCI, INSTALL M FELT, PRO 40 DIMENSIONAL CLASS A SHINGLE - 30 20
SQUARES
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 such permit or from the date of the last inspection.
Print name of owner/agent Signature Date�il