HomeMy WebLinkAbout4920 Mcmurry Ave - Permits/Reroof - 07/21/2004 (2)Community Planning & Environmental Services
Building & Inspections Division
i 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 49M MCMURRYAVEC
PERMITTYPE PERMIT
ROOF Roofing - ReRootiing
Last Name, First, Middle Initial
SIEFKEN JAMES P
Z Address City/State
3 PO BOX 271155 FORT COLLINS, CO
ZIP I Phone No.
80527
Front Setback Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
� Plat File No. ZBA Case Number Zoning District
Q
wLot Block Lot Area Parcel No.
0
W Company Name Contractor License No.
QAddress City/State
Electrical I License
a�
O
wiecr icai
License No.
HVE
Roofing
License No.
Z
Framing
License No.
U
m
D
Plumbing
License No.
rn
Concrete
License No.
I —
BUILDING PERMIT
Building Valuation
B0404681 ACCOUNT
PERMIT DATE
07/21/2004 Building Perait w/o Subs
.EVEL CATEGORY TYPE
ISSU_FUL I Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
�p No. of Stories Building Height
OBuilding 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 permitter from the date of the last inspection.
/7.. ` n I , /I A /% // t
FEE
DATE PAID
$38.5
7/21/04
$43.5
7/21/04
$11,6
7/21/04
TOTAL FEES