HomeMy WebLinkAbout419 S IMPALA DR - PERMITS - 3/17/2000Community Planning &Environmental Services BUILDING
UILDING PERMIT
PERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation $1.366.00
Fort Collins, CO 80522-0580 B0011346
c't' of F� Phone (970) 221-6760 Fax (970) 224-6134
P
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 419 S IMPALA DR #D FTCO
PERMIT DATE 3/17/2000
Buuildinp PeirmA WOtsubs
aysN.•lus•TM
(punt/ Sall Tax
$23.50
$15.21
$4.06
3/17/2"
=Tfzow
3/17/2000
PERMITTYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL P
ISsu Fl1L
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
HALDERMAN, PAT
Z
Address
City / State
Wp No. of Stories
Building Height
3
419 S IMPALA DR
FT COLLINS, CO
O
O
Zip Phone
No.
Building Square Footage Stock Plan/Options
90521
0-
Front Setback Rear
Setback
REQUIRED INSPECTIONS
Z
CALL 221-6769
Right Side Setback Left
Side Setback
Z
TO SCHEDULE INSPECTIONS
2
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
ROO
Q
wLot
J
Block Lot Area 0 Parce
Name Contractor License No.
OCompany
Address
City/State
OPhone
Supervisor Cart. No.
V
Electrical License No.
0
Mechanical
License No.
Roofing
ATLAS ROOFING SYSTEMS
License No.
R-%5
z
0
Framing
License No.
m
License No.
LoPlumbing
REROOF WITH 13 213 SQUARES. TAX BASED ON $507.00 MATERIALS.
w
r
7
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,
abandoned or not inspected within 180 days from the date of such permit or from the date of the last inspection.
suspended,
• 11, �/ �� 6
TOTAL FEES
$42.77
Print
!N
name of owner/ nt Signature Date