HomeMy WebLinkAbout2336 Valley Forge Ave - Permits/Reroof - 09/12/2005Planning & Environmental Services
Building Division BUILDING PERMIT
PERMIT
& Inspections
imCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
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c,ty of Fort cow phone (970) 221-6760 Fax (970) 224-6134 � � � � � � � �
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 2336 VALLEY FORGE AVE
PERMIT DATE
7 ?
J, kic , GA
PERMITTYPE
F Roo-
ROOF R file- Rc.R�„fing
PERMIT LEVEL tSS G L
L1_ U
CATEGORY TYPE R d
.,
last dd
WdOOT, 9 ?�T W/NANCY R
Construction Type
Occupancy Group
111r't36 VALLEY FORGE AVE
City/StateFORT COLLINS. CO
O No. of Stories
Building Height
V
Zip 30526 533
Phone No.Qy �E9�
Building Square Footage
Stock Plan/Options
0
Front Setback Rear Setback
Z_
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PLID Filing
Q
Lot Block Lot Area 0 Parcel No. `_ u
Name Contractor License No.
OCompany
Address City/State
OPhone
Supervisor Cart. No.
V
Electrical License No.
Ine
Mechanical
License No.
C
Roofin%
f�
License No
ZO
Framing
License No.
(J
m
Plumbing
License No.
N
Concrete
License No.
REMOVE ONE LAYER AND REROOF WITH 16.59 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. 1 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.
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TOTAL FEES
359.5
name of owner/agent Signature Date
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