HomeMy WebLinkAbout3019 Moore Ln - Permits/Reroof - 06/29/1999Community Planning & Environmental Services BUILDING PERMIT
Building Permits & Inspections Division
F
PO Box 580
22 -6769
Cityof
Fort Collins, CO 80522-0580
JOB SITE ADDRESS 3019 MOORF LN
- 80526
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" ORATION
cateSyq LE FAMILY DETACHED
a
PRi�M NTIAL
Use Zone
Pann1,ttL/FINAL
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Subdivision
PUD
Flung
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Su6d ision/PUD
Building Valuation 1300
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Lot
l6lock I Parcel No
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W
3
O
FOSS
DOROTHY
BLDG PERMIT NON S
CIT�YSALESUSE.TA
COUNTY SALES TAX
`�M9 MOORE LN
c�r
f-ORT COLLINS
Sd6
Zip 80526
Phone'470-226-2718
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AITZ9a `ROOFING SYSTEMS
Contractor Len
IB - ��
S TAFT HILL RD
`" FT COLLINS
Sto60
Z60521
Phone
Salessale:Tyks 145
L
Const uct on Type
Occupancy Group
F re Sprinkle
F replace/Sto as
Bu Id ng Squaq Footage
Basement Squa a Footage
No of Sto as
Bu ]Wing He ghts
M
Y
W
O
Occupancy Load
Occupancy Sepa anon
Area Separat on
F re Conto nment
3
„
No o�Dwell ng Un is
No of Bedrooms
No of Bathrooms
Stock Plan/9phons
/
'
' '
TOTAL FEES
O
o
"Pt -ROOF 12 2/3 SQUAURES TAXES BASED ON COST OF MATERIALS
ONLY -
$400 00
0
a
U
N
W
FEE DA1
22 00 9�
€ 712 00 95
3 00 9�
3 &L — I
00
SETBACKS
REAR
LEFT
FRONT
Area
RIGHT
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
RF
0992938
" t Dal rNE 29, 1999
DEP RTMENT
STATUS
I DATE 1
• ' •
OTC PERMIT
ISS
ggr�y
EI IV/ H
As a condition for the issuance of a permit I hereby declare that I am an owner or the
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owner s agent authorized to perform the proposed work on the property descnbed herein
I agree to comply with all the requirements contained herein and City ordinances and State
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Mac} p gcal
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laws associated with such work I understand that such permit maybe re% oked in the event
that issuance was based on incorrect information This permit shall become null and void if
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the work authonzed by such permit is not commenced suspended abandoned or not
N/A
inspected within 180 days from the date of such permit
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Rootmyy
N/A
- 2
S gnotu a Data C2
Y
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