HomeMy WebLinkAbout4425 HOLLYHOCK ST - PERMITS - 1/26/2006Community Planning & Environmental Services
N
Building & Inspections Division BUILDING PERMIT
PERMIT FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970)221-6760 Fax (970) 224-6134 B0600369
$3, 72.00
ACCOUNT
FEE
DATi: PAID
JOB SITE ADDRESS 4425 HOLLYHOCK ST
PERMIT TYPE
PERMIT DATE n n
01/26/2 006
Building Permit w/o Sub
$44.
0 1/26/0
PERMIT LEVEL
ROOF Roofing - ReRoofing ISSU_FUL
CATEGORY TYPE
Residential
City Sales/Use Tait
,
$ f/2 /
Last N m R Middl Initial
>�fiT'S, JURDAN P
Construction Type
Occupancy Group
"'
County Sales/Use Tax
$13.
9 1/26/0
Addre425
Ciry/State
s
Building
HOLLYHOCK ST
FORT COLLINS, CO
Height
O
Zip 80526-3515 Phone No. 970-231-0126
are Footage Stock Plan/Options
Front Setback Rear Setback
0
iiel
0
•
_Z
Z
Right Side Setback Left Side Setback
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
P 00
Subdivision/PLID
Filing
�j
J
Lot Block Lot Area
Parcel No. 9735306016
W
Company Name Contractor License No.
GAddress
City/State
0
Phone Supervisor Cert. No.
V
Electrical
License No.
OMechanical
License No.
Roofing
S R PLUS INC
License No. R 1863
ZZ
Framing
License No.
V
EQ
Plumbing
License No.
Concrete
License No.
REROOF WITH 30YR ELK DIMENSIONAL
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.
Print name of owner/agent Signature Date
TOTAL FEES
$1"flii.