HomeMy WebLinkAbout1737 Effingham St - Permits/Reroof - 09/02/2005Community 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 1737 EFFINGHAM ST
PERMIT TYPE PERMIT
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
HEALY, THOMAS V/DORIS
Address City/State
1737 EFFINGHAM ST FORT COLLINS. CO
O Zip . Phone No
80526-2344 223-8728
Front Setback I Rear Setback
BUILDING PERMIT
Building Valuation
B0505019 $1,800.00
ACCOUNT FEE DATE PAID
PERMIT DATE .� r, n 1 c. H r n t n
1.i1 hildi' rermit wlo ,,jbs y19u.5' 9/2"'K
LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax $27.0 9/2/05
Construction Type Occupancy Group
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wp No. of Stories Building Height
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Building Square Footage I Stock Plan/Options
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Right Side Setback Left Side Setback
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Plat File No.
ZBA Case Number Zoning District
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Subdivision/PLID
Filing
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wLot
Block Lot Area
Parcel No.
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0,711 ,�ctva,,273n7nn3
OCompany
Name Contractor License No.
Address
City/State
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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.
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Concrete
License No.
TEAR OFF AND REROOF USING TAMKO 25 YEAR - 18 SQUARES
(See reverse side for Inspection Description)
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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. Thi ermit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from ate of such permit or from the date of the last inspection.
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Print name of owner/agent Signatu Date
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