HomeMy WebLinkAbout5451 Golden Willow Dr - Permits/Reroof - 08/08/2005Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING P E RM I TPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
City
Fort Collins, CO 80522-0580
of Fort Collins
60504273
$ 2 7
0 0. 0 0
phone (970) 221-6760 Fax (970) 224-6134
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ACCOUNT
FEE
DATE PAID
SITE ADDRESS 5451 GOLDEN WILLOW DR PERMIT DATE p/ \� l ltii)
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JOB
Building Pernit w/o Subs
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�tty Sales/Use Tax
Co Sales pi
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�38.5
;R40.5
$10.8
8/8/05
8/$J05
3 8 5
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PERMIT
TYPE ROOF RoofingReRoofin
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PERMIT LEVEL
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CATEGORY TYPE
Residential
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Construction Type
Occupancy Group
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Add
r9351 GOLDEN WILLOW DR
City/StateFO IT COLLINS, C'Q
No. of Stories
Building Height
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Zip 8,52,
Phone No. 224-4148
Building Square Footag6 Stock Plan/Options
Front Setback
Rear Setback
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V,
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Right Side Setback Left
Side Setback
• • • •
2
•
-
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
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0
Lot Block Lot Area 0 Parcel No. 9721131004
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Name Contractor License No.
OCompany
Address
City/State
H
Z
Phone Supervisor Cart. No.
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Electrical License No.
OMechanical
License No.
CRoofinLg
2tEVtE "vv"F i1�
License No.
764
Framing
It
License No.
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Plumbing
License No.
N
Concrete
License No.
TEAR OFF AND REROOF USING 27 SQUARES
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.
name of owner/agent Signature Date
Print
TOTAL FEES
$89.8