HomeMy WebLinkAbout836 HINSDALE DR - PERMITS - 3/3/2006Community Planning & Environmental Services
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 B Q 6 0 0 8 9 2
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS PERMIT DATE
836 HINSDALE DR 03 032006
PERMIT TYPE
Building Permit w/o Sub
$62.
0 3/3/0
ROOF PERMIT LEVEL CATEGORY TYPE
Roofing - ReRoofin ISSU FUL Residential
Last Name, First, Middle Initial
fr �t�� tax
city Sale$/use T
t96
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Construction Type Occupancy Group
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w
LU Address w
City/State No. of Stories Building Height
County Sales/Use Tax
$25.
0 3/3/0
FORT COLLINS,O
O Zip Phone No. U Building Square Footage Stock Plan/Options
80526-3914 204-1495
Front Setback
Rear Setback
0
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Z_
Z
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Right Side Setback Left Side Setback
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
PO0
J
Subdivision/PUD
Filing
J
Lot Block Lot Area
Parcel No.
OCompany
Name
Contractor License No.
C
f1 T NTRACT-
Address
City/State
Phone Suoervisor Cert_ Nn
License No.
License No.
OMechanical
Roofing
License No.
O
Framing
License No.
U
no
Plumbing
License No.
to
Concrete
License No.
RE ROOF 43 SQ, TEAR OFF AND INSTALL
8
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
Date