HomeMy WebLinkAbout1430 Silk Oak Dr - Permits/Reroof - 08/23/2005Community Planning &Environmental Services
Building & Inspections Division BUILDING P E RM I TPERMIT
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 7 1 5
$2,600.00
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 1430 SILK OAK DR PERMIT DATE !!�
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PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ROOF Roofing - ReRoofi^g ISSU_FUL Residential
City Sales/Use Tax
C�un�y Sales/Use Tax
$39.0
$10.4
8/23/05
8/23/05
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Last Name, First, Middle Initial
LYON. TERRY UKATHLEEN A
Construction Type
Occupancy Group
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Address
1430 SILK OAK DR
City/State
FORT COLLINS, CO
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p No. of Stories
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Building Height
Zip 80525
223-9978 Phone No.
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Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
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Right Side Setback Left
Side Setback
Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
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Subdivision/PUD
Filing
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wLot
Block
Lot Area
Parcel No.
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8605232013
OCompany
Name
Contractor License No.
Address
City/State
H
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Phone
Supervisor Cert. No.
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Electrical
License No.
OMechanical
License No.
Roofing
License No.
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Framing
License No.
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Plumbing
License No.
Concrete
License No.
TEAR OFF AND REROOF USING 26 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 permi shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the dat of such permit or from the date of the last inspection.
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TOTAL FEES'
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Print name of owner/agent Signatur ; Date