HomeMy WebLinkAbout4920 Mcmurry Ave - Permits/Reroof - 07/21/2004 (6)Community 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 492o MC MURRYAVE G
PERMIT TYPE PEP
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
SIEFKEN JAMES P
Z Address City/State
3 PO BOX 271155 FORT COLLINS,
C
O Zip Phone No.
W527
Front Setback Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
a
wLot Block Lot Area 0 1 Parcel No.
J
Company Name I Contractor License No.
Address
Phone
W
Mechanical
License No.
0
H
Roofing
License No.
Z
Framing
License No.
V
�
Plumbing
License No.
fN
Concrete
License No.
BUILDING PERMIT
Building Valuation
B0404677 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
OBuilding Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
R00
TEAR OFF AND REROOF WITH 14 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.
rint name of owner/agent lgnature to TOTAL FEES
FEE
DATE PAID
$23.5
7/21104
21.0
7/21/04
$5.6
7/21/04
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