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HomeMy WebLinkAbout1250 Maple St - Permits/Reroof - 09/01/2005Community 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 1250 MAPLE ST PERMIT TYPE ROOF Roofing - ReRoofing Last Name, First, Middle Initial ce BALDWIN, RYAN 3 Zip 1250 W MAPLE ST esscity/, O Zip Phone No. 80521 Front Setback I Rear Setbai Z_ Right Side S Z K Plat File No. ZBA Case Number FORT COLLINS, CO 482-0958 L4 I Lot Block Lot Area rt Parcel No. 11'' 77 Address oL Mechanical URoofing Framing O V m V) Plumbing N City/State License No. License No. TEAR OFF TO DECKING AND REROOF WITH ASPHALT SHINGLES 19SQUARES HOMEOWNER AFFIDAVIT ON FILE BUILDING PERMIT Building Valuation B0505001 ACCOUNT PERMIT DATE t) 1 % k-)iJ uu!1 di,ty r21 iI t w/o uuuS .EVEL CATEGORY TYPE ISSU FUL Residential wily Saleslusl; Tax Construction Type Occupancy Group bodilty Sdiespulse laz OI No. of Stories Building Height V Building Square Footage I Stock Plan/Options (See reverse side for Inspection Description) st00 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 com need, suspended, abandoned or inspected within 180 d from the date of such permit or from the date of the last inspection. � r J - ► -cam Print name of owner/agent Sig ature Date TOTAL FEES $11900.00 FEE DATE PAID mo+ n ,nr yl v I it $i.i, 67.1