HomeMy WebLinkAbout4560 Larkbunting Dr - Permits/Reroof - 12/30/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
'°#"Wt " Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS .ARKHIJNTINC DR MLl.B
PERMIT TYPE
Last Narte, First, Middle Initial
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Add
City/State
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Zip Phone No.
M. JW2
Front Setback Rear Setback
Right Side Setback
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Left Side Setback
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Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD
Filing
L.
Lot
Block
Lot Area
Parcel No.
3
CAddress
Company Name
Contractor License No.
City/State
Phone
upervisor Cert. No.
V
Electrical
License No.
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Mechanical
License No.
Roofing
License No.
FrdAVK V
License No.
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jPlumbing
License No.
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Concrete
License No.
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BUILDING PERMIT
130407731
PERMIT DATE
LEVEL I CATEGORY TYPE
Construction Type Occupai
p No. of Stories Building
O
V Building Square Footage Stock Plard(
reverse side for Inspection
ROO
TSAR OFF ROOF OF WOOD SHAKES AND INSTALL 40 SQUARES OF CLASS A 30 YR ELK PRESTIGE
SHINGLES.
As a condition for the issuance of a permit, I hereby declare that 1 am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. 1 agree to comply with all City ordinances, and State laws associated with such work. 1 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 days4rom the date of such permit or from the date of the last inspection.
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Print name of owner/agent ature Date
Building Valuation