HomeMy WebLinkAbout648 LESSER DR - PERMITS - 12/30/2005Community Planning & Environmental Services 1
Building & Inspections Division DING PERMITPERMIT
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Fort Coll IIMins phone (970) 221-6760 Fax (970) 224-6134 B0507531 $2 200.00
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 648 LESSER DR PERMIT DATE t
12/30/2005 Building Penoit w/o Sub $38. 0 12/30/D
PERMIT TYPE g - � PERMIT LEVEL ISSU_FUL CATEGORY TYPE
ROOF Rtxttn ReRlxfin Residonti
Last Name, First, Middle Initial
MOFFlTT, BERRY Construction Type Occupancy Group
o=
Z Address w
648 LESSER DR City/State p No. of stories Building Height
3 FORT COLLINS, CO 0
Zip ry 22 Phone No. V BuildingSquare Footage Stock Plan/Options
tions
�L4-.3G Gi Q �2-91i 9� Q 9 p'
Front Setback Rear Setback 0
0
Z Right Side Setback Left Side Setback • • e e •
Z
2 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Q Subdivision/PUD Filing POO
JLot Block Lot Area Parcel No.
9713115024
Company Name
ri Contractor License No.
Phone
Omecnanical
License No.
Roofing
License No.
SHIRK AJ ROOFING
Z
Framing
License No.
V
Plumbing
License No.
H
Concrete
License No.
TEAR OFF AND RESHINGLE WITH 9 SQUARES
588
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 such permit or from the date of the last inspection.
name of owner/agent Signature Date