HomeMy WebLinkAbout419 Albion Way - Permits/Reroof - 07/28/2005Community Planning & Environmental Services
Building & Inspections Division BUILDING P E RM I T
PERMIT
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 4 014
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 419 ALBION WAY PERMIT DATE
JOB
PERMIT
TYPE 07 ���� /[�0i.iJ
Building P2i'mlt it/0 SUDS
$26,50
1i28/05
PERMIT LEVEL CATEGORY TYPE
ROOF Roofing- ReRoo#in ISSU_FUL Residential
Last Name, First, Middle Initial
Sales/Use U
City 5 /s$ Tax
$24.00
7/28/05
L
Construction Type Occupancy Group
FAIN BRYAN G
w
Address City/State C) No. of Stories Building Height
County Sales/Use Tax
$6.40
7/28/05
O
419 ALBION WAY FORT COLLINS CO O
Zip U
80526-3247 Phone No. Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z
Z
ffi��e
Right Side Setback Left Side Setback
Plat File No.
ZBA Case Number Zoning District
Subdivision/PLID Filing
(See reverse side for Inspection Description)
R00
Q
wLot
Block Lot Area Parcel No.
0 9735113042
Name Contractor License No.
OCompany
Address City/State
H
OPhone
Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing
License No.
License No.
OFraming
V
Plumbing
License No.
to
-
Concrete
License No.
TEAR OFF AND REROOF USING 16 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
commenced,
suspended, abandoned or inspected within 180 days f date of such permit or from th date of the last inspection.
name of owner/agdlit Ignature Date
Print
TOTAL FEES
$56.