HomeMy WebLinkAbout2009 Orchard Pl - Permits/Reroof - 05/05/2005Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
FEES
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 2 a 8 6
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ACCOUNT
FEE0o
DATE PAID
2009 ORCHARD PL r r--: tr
JOB SITE ADDRESS PERMIT DATE CiJ `� J/20G J
/
Building Permit w/o Subs
City Sales/Use Tax
County Sales/Use Tax
JU.J
3I.5'
$8. 4
/J/U11
J
S/5/05
5/5/05
PERMIT TYPE ROOF RoofingReRoofin
- 9
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Ce
Lastryaptia Fir�,M�idl®initial
TWIN CJ1iVA
Construction Type
Occupancy Group
Addr009 ORCHARD PL City/StateFORT COLLINS, CO
No. of Stories
Building Height
O
OLU
zip 80524
Phone No. 282 1 707
V Building Square Foots% Stock Plan/Options
Front Setback Rear Setback
0
Z
Right Side Setback Left Side Setback
• •
NPlat
File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
1700
J
Subdivision/PUD
Filing
Q
w
Lot
Block
Lot Area o
Parcel No. 9715207163
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Company Name Contractor License No.
Address
City/State
H
OPhone
Supervisor Cert. No.
V
Electrical
License No.
OMechanical
License No.
15
Rood?EVE R00FIN0
License No. n
n 764
O
Framing
License No.
V
50 D
Plumbing
License No.
rn
Concrete
License No.
TEAR OFF AND REROOF USING 21 SQUARES
8
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
froch permit or from the date of the last inspection.
commenced, suspended, abandoned or inspected within 180aignatu�re
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TOTAL FEES
$78.4
Print name of owner/agent Date