HomeMy WebLinkAbout417 N ROOSEVELT AVE - PERMITS - 1/6/1997SETBACKS
Community Planning &Environmental Services
BUILDING PERMIT
6a
Building Permits & Inspections Division
REAR
Citvof F` a
P.O. Box 580
221-6769
Fort Collins, CO 80522-0580
LEFT RIGHT
JOB SITE ADDRESS
417 N ROOSEVELT AVE
_
F-
Permit Type
Work Type
Category TYPE
RE -ROOF
ALTERATION
SINGLE FAMILY DETACHED
j
Proposed Use
Use Zone
Permit level
a
RESIDENTIAL
FULL FINAL
FRONT
Subdivision PUD ❑
'�
Filing
PERMIT FEES
Subdivision/PUD
Building Valuation
2180
ce
RODRIGUEZ
MANUEL
BLDG PERMIT NON S
38.50
Z
:CITY SALES USE TA
Address
City
Plat File No.
3
417 N ROOSEVELT AVE
FORT COLLINS
COUNTY SALES TAX
O
State Zip
CO 80521
Com ny Name
AT CAS ROOFING
Phone No.
221-4190
Contractor License No.
R-695
Off St. Parking
ae
°
G
REQUIRED INSPECTIONS
Address
3119 LONGHORN CT
City
FT COLLINS
State
CO
CALL 221-6769
TO SCHEDULE INSPECTIONS
Phone Sales Tax No.
80526 484-7777 21745
Ozip
(See reverse side for Inspection Description)
v
Construction Type Occupancy Group Fire Sprinkler Fireploce/Stoves
Building Square Footage
Basement Square Footage
No. of Stories
Building Height
0
RF
se
W
Occupancy Load
Occupancy Separation
Area Separation
Fire Containment
No. of Dwelling Units
0
Na. of Bedrooms
No. of Bathrooms
Stock Plan/Options,
/
TOTAL FEES
38.50
3
-
°
Text
REROOF
o
1=
REMOVE 2 LAYERS AND REROOF WITH 3-TAB
a
BASED ON MATERIALS COST OF 690.00
U
N
W
(1
No.
• 0970038 ermdDJANUARY 6, 1997
As a condition for the issuance of pe i , 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 the requirements contained herein, and 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 incorreckinformation. This permit shall become null and void if
the work authorized by such pePmit�s not commenced, suspended, abandoned, or not
inspected with 180 days fMim theeAawwof such permit.
ature t•— it � c � '�� Date
OTC PERM T ISS N/A
Mechanic
N/A
Plumbing
N/A
N/A