HomeMy WebLinkAbout813 Vanderbilt Ct - Permits/Reroof - 11/09/2005AmCommunity Planning & Environmental Services PERMIT FEES
Building & Inspections Division BUILDING P E RM I T
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 1 66.00
city of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 Ri n t; n F; F; 7 n
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 813 VANDERBILTCT
PERMIT DATE 11/09/2005
Building Permit w/o Subs
City Sales/Use 'tax
County Sales/Use Tax
$25,
WA
$4.
0 11/9/05
7 10/0
8 11/9/05
PERMIT TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residenfla
Last Name, First, Middle Initial
CLARKE, CHARLES R/LOIS M
Construction Type
Occupancy Group
I
w
Address
813 VANDERBILT CT
City/State
I FORT COLLINS, CO
w
p No. of Stories
O
Building Height
O
Zip 80525-1860
Phone No.
V Building Square Footage n I Stock Plan/Optlons
Front Setback Rear Setback
0
Z Right Side Setback Left Side Setback ' • • •
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
_ Subdivision/PLID Filing ROO
Q
Lot Block Lot Area Parcel No.
01 9724415148
OCompany Name Contractor License No.
ATLAS ROOFING I CONST C1 154
Address City/State
PO BOX 273122 FORT COLLINS CO 8052
Phone Supervisor Cert. No.
0 970 484 7777
Electrical License No.
W Mechanical License No.
CRoofing License No.
OFraming License No.
v
m Plumbing License No.
V)
H
Concrete License No.
REMOVE AND REPLACE 14 2/3 SQUARES OF ASPHALT SHINGLES
TAXES BASED ON MATERIAL COST OF $510.00.
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 owner/agent
Signature
Date
I