HomeMy WebLinkAbout4200 Monmouth Ct - Permits/Reroof - 07/20/2005Community Planning & Environmental Services
Building & Inspections Division
�- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c'tvofFort collins Phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4200 MONMOUTH CT
PERMIT TYPE PER
ROOF Roofing- ReRoofin
Last Name, First, Middle Initial
W rr-st t W-AN & tZHIN
Z Address City/State
3 4200 MONMOUTH CT I FORT COLLI
O Zip Phone No.
80525-3337 377-1166
Front Setback Rear Setback
0
Z_ Right Side Setback Left Side Setback
Z
R Plat File No. ZBA Case Number Zoning District
BUILDING PERMIT
I PERtRIT FEES
Building Valuation
B0503773
ACCOUNT '
FEE
DATE PAID'
PERMIT DATE
0720'2005
Building Permit w/o Subs
$38.5
7/20/05
EVEL CATEGORY TYPE
ISSU FUL Residential
City Sales/Use Tax
$45.0
7/20/05
Construction Type Occupancy Group
County Sales/Use Tax
$12.0
1J20/05
ONo.
V
of Stories
Building Height
Building Square Footage Stock Plan/Options
Q
wLot
Block Lot Area
Parcel No.
J
/�
0
7 (� (�
87310091107
OCompany
Name
Contractor License No.
QAddress
City/State
F'-
Z
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
ce
Mechanical
License No.
O
CRoofing
License No.
OZ
Framing
License No.
V
SPlumbing
License No.
tN
Concrete
License No.
IE.
(See reverse side for Inspection Description)
P00
TEAR OFF EXISTING ROOF AND REROOF WITH 30 SQUARES OF ASPHALT 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 a date of such permit or from the date of the last inspection.
Print name of owner/agent Sign tur Date
TOTAL FEES $95-59