HomeMy WebLinkAbout626 S GRANT AVE - PERMITS - 11/8/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 626 SGRANTAVE
PERMIT TYPE PER
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
WYMAN, JACK CURTIS
LU Address City/State
1904 YORKTOWN AVE FORT COLLINS, I
0 Zip Phone No.
80526-1661 482-0948
Front Setback Rear Setback
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
J Subdivision/PUD Filing
Q
M PERMIT FEES
BUILDING PERMIT
Building Valuation
B0506637 $1 s00.0o
ACCOUNT FEE DATE PAIR
PERMIT DATE
1 1/08/2005 Building Permit w/o Subs $26. 0 11/8/0
.EVEL CATEGORY TYPE
ISSU_FUL Residontia City Sales/Ube Tax $24, 0 ' 11/8/0+
Construction Type Occupancy Group County Sales/Use TeX $ 6. 0 11 / 8 / 0
ONo. of Stories =eight
V Building Square Footage I Stock Plan/Options
S Lot Block I Lot Area Parcel No.
9]14211009
Address I City/State
Ph- nin -�
,ee reverse side for Inspection Description)
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tieancai
License No.
pX
-
Mechanical
License No.
CRoofing
License No.
F—
OFraming
License No.
V
Plumbing
License No.
m
kn
Concrete
License No.
TEAR OFF AND REROOF WITH 16 SQUARES
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 su ermit or from the date of the last inspection.
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Print name of owner/agent Signetur Date TOTAL FEES S