HomeMy WebLinkAbout4920 Mcmurry Ave - Permits/Reroof - 07/21/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
FortCollins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4920 MCMURRY AVE B
PERMIT TYPE PERMIT
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
Cie SIEFKEN, JAMES P
Z Address City/State
Zip
3 PO BOX 271155 Phone No. FORT COLUNS, CO
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80527
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
J
Q
wLot Block Lot Area Parce
J /S
OCompany Name Contractor License No.
Address City/State .$U
H
Z Phone Dervisor Cert. No.
License No.
0::Mechanical
License No.
0
H
HRFFVF
Roofing
License No.
Z
Framing
License No.
V
m
Z)
Plumbing
License No.
rn
Concrete
License No.
BUILDING PERMIT
Building Valuation
B0404682 ACCOUNT
PERMIT DATE
07/21/2004 Building Permit w/o Subs
LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
Wp No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
R00
TEAR OFF AND REROOF WITH 29 SQUARES OF OWENS CORNING SHINGLES.
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.
FEE
$38.5
$43.5
$11.6
DATE PAID
7/21/04
7/21/04
7/21/04
Print name
Date
TOTAL FEES