HomeMy WebLinkAbout2926 Brumbaugh Dr - Permits/Reroof - 06/29/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofFort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2926 BRUMBAUGH DR
PERMIT TYPE PER
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
o: DOERFLER. MICHAEL W
Z Address City/State
3 2926 BRUMBAUGH DR FORT COLLINS.
U Zip Phone No.
80526 223-6126
Front Setback Rear Setback
0
Z Right Side Setback
Z
Plat File No. ZBA Case Number
J
Q
w Lot
J
Company Name
City/State
BUILDING PERMIT
Building Valuation
B0503195 accouNT
PERMIT DATE
OE;,'2' ; 2t��`; Building Permit w/o Subs
RMITLEVEL CATEGORY TYPE
ISSU_FUL Residential Gity Sales/Use Tax
Construction Type Occupancy Group
Courty Sales/use Tax
p No. of Stories Building Height
CO O Building Square Footage I Stock Plan/Options
Zoning District (See reverse side for Inspection Description)
Filing "ion
Parcel No.
9728213060
OPhone
Supervisor Cert. No.
U
Electrical
License No.
W
Mechanical
License No.
Roofing
License No.
OV
H
RIOCKY T RooFiGTR
n 83
ZO
Framing
License No.
U
m
Plumbing
License No.
V)
N
Concrete
License No.
TEAR OFF WOOD SHAKES AND REPLACE WITH 30 SQUARES OF ELK PRESTIGE 40 YR SHINGLES.
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 his permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days fr m the dat of such permit or from the date of the last inspection.
T_/ -- �-7 CK
Print name of owner/agent Sig ure Date
�s
FEE I DATE PAID I
$38.5
6/29/05
$45.0
6/29/05
$12.0
6/29/05
DTAL FEES I $95.5t