HomeMy WebLinkAbout109 Yale Ave - Permits - 07/12/2004Community 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 ADDRESS 109 YALE AVE
PERMIT TYPE PERMIT
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
oc ELLWOOD, ESTHER P
Z Address City/State
109 YALE AVE FORT COLLINS, CO
0 Zip Phone No.
80525-1717 493-9290
Front SetbackI Rear Setback
0
Z_ Right Side Setback
Z
Plat Fite No.
Subdivision/PUD
J
Q
w Lot
J
OCompany Name
UAddress
N
? Phone
ZBA Case Number
Block ILot Area
City/State
Zoning District
BUILDING PERMIT
Building Valuation
80404367 2r367.00
ACCOUNT FEE DATE PAID
PERMIT DATE
07/ 12/2004 Building Pernit w/o Subs $38.5 7/12/04
_EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax $35.9 i 7/12/04
Construction Type Occupancy Group County Sa I es/Use Tax $ 9 . 5 7/12/04
Wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
0I Parcel No. 9724309022
W
Mechanical
License No.
0
Roofing
License No.
I'M ROOFING
R 400
Z
Framing
License No.
0
V
m
Plumbing
License No.
V)
N
Concrete
License No.
I�
(See reverse side for Inspection Description)
ROO
REMOVE 4 LAYERS OF EXISTING ROOFING AND REROOF WITH 30 YR LAMINATED SHINGLES, INSTALL A
TOTALLY ADHERED ROBBER ROOF SYSTEM ON METAL FLAT ROOF AREA 23.97 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.
'&'L� A N144—cr '_0 !;�
Print name of owner/agent Signature Date ?— aTOTAL FEES