HomeMy WebLinkAbout419 S IMPALA DR - PERMITS - 3/17/2000 (4)Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building &Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation $2,400.00
Fort Collins, CO 80522-0580 B0011341
CityofF� Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID,
JOB
SITE ADDRESS 419 S IMPALA DR #fA FTCO
PERMIT DATF03/17/2000
Buildng P•rtnilWO►Subs
$38.50
3/17/2000
aN•T"
$28.08
7r404b
PERMITTYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU FUL
CATEGORYTYYPE
RESIDENTIAL
County Sal•sAho Tax
$7.49
17/2000
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 #5
FT COLLINS, CO
O
v
O
Zip Phone
No.
Building Square Footage
Stock Plan/Options
80521
0
Front Setback Rear
Setback
REQUIRED INSPECTIONS
Z
Right Side Setback Left Side Setback
CALL 221-6769
Z
TO SCHEDULE INSPECTIONS
Plat File No. ZBA Case Number zoning District
(See reverse si a or Inspection Description)
Subdivisioni Filing
ROO
_
Q
wLot
J
Block Lot Area 0 Parce
Name Contractor License No.
OCompany
V
Address
City/State
r
OPhone
Supervisor Cert. No.
V
Electrical License No.
0
Mechanical
License No.
V
Roofing
ATLAS ROOFING SYSTEMS
License No.
R-E95
Z
Q
Framing
License No.
m
Plumbing
License No.
ub
REROOF WITH 24 SQUARES. TAX BASED ON $936.00 MATERIALS.
r
� v
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. 1 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 permi r from the date of the last innsspection.
—not
`/�_
`i
nt name of o gent Signature Date
TOTAL FEES
$74.Oi