HomeMy WebLinkAbout400 S Shields St - Permits - 06/23/2004Community 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 4W S SHIELDS ST
PERMIT TYPE
ROOF Rbofing - ReRoalfing
Last Name, First, Middle Initial
FENWICK JACK
Z Address City/Statf
3 2219 CHAROLAIS DR
0 Zip 80526 Phone No -
I Rear Setback
BUILDING PERMIT id -1 ilk
Building Valuation
80404033
ACCOUNT
PERMIT DATE
06/23/2004 Building Permit w/o Subs
PERMIT LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
FORT COLUNS, CO
493-8167
0
Z_
Right Side Setback Left Side Setback
Z
2
Plat File No. ZBA Case Number Zoning District
J
Subdivision/PLID
Filing
Q
w
J
Lot
Block
Lot Area
Parcel No.
9711324011
0
Company Name
Contractor License No.
Address
City/State
H
Z
Phone I Sunervisor Cert. No
w Mechanical
O
Roofing
EWI
Z Framing
0
U
m V) Plumbing
N
Concrete
8
I —
License No.
License No.
License No.
License No.
License No.
inNo. of Stories Building Height
U
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
R00
TEAR OFF ONE LAYER AND INSTALL ONE LAYER OVER CEDAR SHINGLES (2 LAYERS TOTAL) 13 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.
A
Print name of owner/agent Signature Date TOTAL FEES
1,300.00
FEE I DATE PAID1
$22.0
6/23/04
$19.5
6/23/04
$5.2
6/23/04
Wa