HomeMy WebLinkAbout3030 Skimmerhorn St - Permits/Reroof - 07/19/2005Community Planning & Environmental Services
" Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 3030 SKIMMERHORN ST
PERMIT TYPE PERT
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
� EKBLAD, STEVEN URHONDA L
Z Address City/State
3 Zip 3030 SKIMMERHORN ST FORT COLLINS, O
Ph N
0
Z Right Side Setb,
Z
Plat File No.
_ Subdivision/PUC
Q
w Lot
J
OCompany Name
QAddress
one o.
223-9045
Rear Setback
Left Side Setback
BUILDING PERMIT
PERMIT FEES
Building Valuation
50 3696
ACCOUNT
FEE DATE PAID
PERMIT DATE
0 7 / 19/L005
Building Permit w/o Subs
$38.50 7/19/05
EVEL CATEGORY TYPE
ISSU_FUL Residential
City Sales/Use tax
$36.00 7/19/05
Construction Type Occupancy Group
W
County Sales/Use lax
$9.60 1/19/05
n
O
No. of Stories
Building Height
Building Square Footage
Stock Plan/Options
Number Zoning District
(See reverse
Filing Iq 0 0
Block ILot Area
License No.
OMechanical
License No.
H
Roofing
License No.
i C n
F Cpill"
ZZ Framing
License No.
V
00 Plumbing
License No.
Concrete
�Uc.nse No.
TEAR OFF AND REROOF USING 24 SQUARES
0 1 g,
se No.
Inspection Description) I I
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 the date of such permit or from the date of the last inspection.
Print narKe of owner/agent ature Date TOTAL FEES
$ii4.1