HomeMy WebLinkAbout2125 Clearview Ave - Permits/Reroof - 09/22/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
c;tvofFo>rtcousins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2125 CLEARVIEWAVE
BUILDING PERMIT
Building Valuation
B0504982 $1,900.00
ACCOUNT FEE DATE PAID
PERMIT DATE
09/01/2005 Building Permit w/o Subs $31.0 9/1/05
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
ROOF Roofing - RePmfing ISSU_FUL Residentia City Sales/On tax $28.5 9/ 1/05'
Last Name, First, Middle Initial Construction Type Occupancy Group / /
AX KELLY PAULM County Sales/Use Tax $7.6 9 1 05
w Address City/State LU
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2125 CLEARVIEW AVE No. of Stories Building Height
FORT COLLINS, CO
O Zip 80521-4209 Phone No. 613"5404 Building Square Footage I Stock Plan/Options
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Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number I Zonino ❑
J auoarvisiororuu Filing
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WLot Block Lot Area Parce
J 0
Company NameI Contractor License No.
Phone
Electrical
ce mecnanic
O
Roofing
Framing'
0
V
m Plumbing
to
8
I -
City/State
License No.
License No.
License No.
License No.
9716408007
(See reverse side for Inspection Descriptio
R00
REMOVE EXISTING ASPHALT SHINGLES, INSTALL NEW FELT AND 19 SQUARES OF 3 TAB 25 YR SHINGLES
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
commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of
signature
Date