HomeMy WebLinkAbout732 Alta Vista St - Permits/Reroof - 08/11/2004Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
FEES
P.O. Box 580 281 N. College Ave.
6 a
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B 0 4 0 5 1 6
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS732
PERMIT DATE
ALTAVISTA ST
''
Building Permit w/o Subs
$28.00
8/11/04
PERMIT
TYPE
LEVEL CATEGORY TYPE
ROOF RoofinaPERMIT
- Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
City Sales/Use Tax
$25.50
8/11/04
w
Address Cit /State w
County Sales/Use Tax
$6.80
8/11/04
3
y O No. of Stories Building Height
O
zipU
Phone No. Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
O
Z_
Z
Right Side Setback Left Side Setback
• • • •
N
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
roo
J
Q
wLot
J
Block Lot Area Parcel No.
O
Name Contractor License No.
OCompany
V
Address City/State
OPhone
Supervisor Cert. No.
U
Electrical License No.
Q'
Mechanical
License No.
Roofing
License No.
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t
g 6 ROOFING
License No.
OFra
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Plumbing
License No.
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Concrete
License No.
TEAR OFF EXISTING SHINGLES AND REROOF WITH 25 YR 3-TABS
APPROX 17 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 ddanys� from the date ofsuch permit or from the date of the last inspection.
L/
4-Z—A !f /1
of o ner/agent Signatur Date
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TOTAL FEES