HomeMy WebLinkAbout628 Peterson St - Permits/Addition or Alteration - 07/15/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFortCollins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE AD
PERMIT TYPE
Last Name, First, Middle Initial
w
Address
O zip
Front Setback
0
Z Right Side Setback
Z
Plat File No.
Q
w Lot
J
Company Name
Electrical
r
ce Mec anical
O
H
Roofing
H
Z Framing
O
U
m Plumbing
V)
N
Concrete
8
Phone No.
Rear Setback
Left Side Setba(
ZBA Case Number
Block Lot Area
Contractor Lic(
City/State
Supervisor Cert. No.
License No.
License No.
License No.
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
LEVEL CATEGORY TYPE
1ps$E15SU FUL Residential
truction Type I Occupancy Group
Lou No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
Zoning District
(See reverse side for Inspection Description)
RP R M G L
Filing
IN F N B F N E
Parcel No.
0
9713213009
FNP FNM SPI
UGP FR FP
mseNo.
CI-9RE
REMOVE ROOF SYSTEM OFF EXISTING ADDITION. INSTALL NEW ROOF SYSTEM. REPLACE WINDOWS IN
SAME. INSULATE, DRYWALL, REROOF WHOLE HOUSE. 16 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 ordinanc s, and State laws associated with such work. I understand that such permit may be revoked in the
ev nt that i5suance was based on incorrect or incomple information. This permit shall become null and void if the work authorized by such permit is not
c menc , suspended, abandoned or inspected wi n 180 days from the date of such permit or from the date of the last inspection.
Print ame of owner/agent gigature C Q Date
ACCOUNT
Ian Check Fee
uiWing Permit a/ Subs
ity Sales/Use Tax
ounty Sales/Use Tax
TOTAL FEES
FEE I DATE PAID I
$15.00 6/30/03
$236.25 7/15/03
$390.00 7/15/03
$104.00 7/15/03