HomeMy WebLinkAbout1013 W Mountain Ave - Permits/Reroof - 09/13/2005a
Community Planning &Environmental Services BUILDING P E RM I T
Building & Inspections Division
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City Fort Collins
$1,700•00
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phone (970) 221-6760 Fax (970) 224-6134 �050�32$0
ACCOUNT
FEE
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SITE ADDRESS ,v,3 4A�MfJU,,�TAiNP,t�E
PERMIT DATE
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PERMIT
TYPE ROOF Rcaflnq ReRaofing
PERMIT LEVEL
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CATEGORY TYPE Residential
Last Ohms FfVif.,ftt kt! RV
Construction Type
Occupancy Group
AddreM13 W IVlrOUNTAIN AVE
City/stateFORT COLLINS, CO
� No. of Stories
O
Building Height
O
Zip 80524
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Phone No. R 6916
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Buildin S uare Foota Stock Plan/Options
bons
9 Q 9� p'
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)
J
Subdivision/PUD
Filing
LH
Lot Block Lot Area
Parcel No.
9E
Company Name
I Contractor License No.
Phone Supervisor Cert. No.
Electrical I License No.
ce
Mecnanicai
License No.
O
Roofing
License No.
Z
Framing
License No.
V
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Plumbing
License No.
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f LAH OFF EXISTING SPANGLES AN
HOMEC:NNERAFFI AV7 ON FLEE
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 informJ,is permit shall become null and void if the work authorized by such permit is not
commenced,, suspended, abandoned or inspected within 180 dahe date of suc ermit or from the date of the last inspectioon..
L� Q� l: �l /r! �41, c� Print name of caner/agent SslZDate