HomeMy WebLinkAbout419 S IMPALA DR - PERMITS - 3/17/2000 (2)Community Planning & Environmental Services BUILDING PERMIT
A,"Rkk Building & Inspections Division
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building valuation $2.400.00
Fort Collins, CO 80522-0580 B0011342
c�ty•rF ' Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 419 S IMPALA DR #B FT .CO
PERMIT DAT'i7MOO
BUil&V PNinit MrSubs
$38 50
,W
3(171M
PERMITTYPE
CA/ 3W*'N+•T°K
•628.08
MnTrzow
ROOF Roofing - ReRoofing
PERMIT LEVEL
Issu Pul
CATEGORY TYPE
PJEsIDENTIAI
County SeI•sill Tax
$7.49
3/i
Last Name, First, Middle Initial
Construction Type
Occupancy Group
w
HALDERMAN PAT
Address
City / State
p No. of Stories
Building Height
Z
3
419 S IMPALA DR 15
FT COLLINS, CO
zip Phone
No.
Building Square Footage Stock Plan/Options
O
80521
0 -
Front Setback Rear
Setback
REQUIRED INSPECTIONS
Z
CALL 221-6769
Right Side Setback Left
Side Setback
Z
TO SCHEDULE INSPECTIONS
(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
ROO
Subdivision/i
Filing
_
Q
wLot
J
Block 1
Lot Area 0
Parce
K
Company Name
Contractor License No.
-
Address
City/State
F—
OPhone
Supervisor Cert. No.
V
Electrical
License No.
K
0
Mechanical
License No.
Roofing
ATLAS ROOFING SYSTEMS
License No.
R �5
z
0
Framing
License No.
no
uo
Plumbing
License No.
REROOF WITH 24 SQUARES. TAX BASED ON $936.00 MATERIALS.
57<
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 not inspected within 180 days from the date of such permit or rom the date of the last inspection.
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Print
name of ner/agent Signature Date
TOTAL FEES
$74.07