HomeMy WebLinkAbout4349 KINGSBURY DR - PERMITS - 3/14/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
Ciih of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 60601019
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
I
4349 KINGSBURYDR
03 14 4006
Building Permit w/o Sub
City Sales/llse Tax
$38.
$331
0 3/14/0
0 3/14/0
PERMIT
TYPE
ROOF Roofing- ReRoofin
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
I Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
w
Address City/State
wp
County Sales/Use Tax
$8.
0 3/14/0
Z
No. Stories
34349
KINGS1WRY DR I FORT COLLINS CO
of
Building Height
O
Zip 80525-3351 223-8743 Phone No.
V
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
, •
Z
Z
Right Side Setback Left Side Setback
• • •
IV
Plat File No.
ZBA Case Number Zoning District
Subdivision/PLID Filing
(See reverse side for Inspection Description)
ROO
J
wLot
J
Block Lot Area Parcel No.
8131315003
Name Contractor License No.
OCompany
Address City/State
H
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing
License No.
O
Framing
License No.
V
Plumbing
License No.
v7
Concrete
License No.
TEAR OFF EXISTING SHINGLES/REGFELT/REROOF WITH ASPHALT SHINGLES/22 SQ
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.
OA,/�,
PF..4:.Lo..� _Sf/ s� -f�✓G2 3
name of owner/agent Signature Date
Print
TOTAL FEES