HomeMy WebLinkAbout411 E PITKIN ST - PERMITS - 3/29/2006Community Planning & Environmental Services
Ohl 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
$2 000.00
phone (970) 221-6760 Fax (970) 224-6134 B0601315
ACCOUNT
FEE I
DATE I'Alo
JOB
SITE ADDRESS 411 E PITKIN ST
PERMIT DATE
03/29/2006
Building Permit u/ Subs
City Sales/Use Tax
County Sales/Use Tax
y43.
43010
$8.
8 3/29/0
3/29/o
0 3/29/D
PERMIT
TYPE
MIN-ALT Minor Residential Alteration
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential Remodel
ce
Last Name, First, Middle Initial
BOLIN, KEVINA/BARBARA E
Construction Type
Occupancy Group
I
w
p
O
Address
411 E PITKIN ST
City/State
FORT COLLINS, CO
No. of Stories
Building Height
O
Zip
80524 Phone
No.
s1 o-s171
Building Square Footage I Stock Plan/Options
Front Setback Rear
Setback
,
Z
• • • •
Right Side Setback Left
Side Setback
Z
14
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
RP R M C L
Q
6
J
Lot Block Lot Area Parcel No.
IN FNB FNE
9713325006
Name Contractor License No.
FNP FNM SPIT
U D P F R FP
OCompany
RE
Address City/State
F
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
H
Roofing
Framing
License No.
License No.
ZZ
V
ca
Plumbing
License No.
H
Concrete
License No.
REPAIR ROTTED SOFFITS AND AFFECTED RAFTERS. INCREASE PITCH OF EXISTING FLAT ROOF ON
ADDITION AREA AT REAR OF HOUSE (APPROX 4" INCREASE). ALL WORK AS PER ENGINEER'S LETTER.
HOMEOWNER AFFIDAVIT ON FILE. (REROOFING TO BE PULLED BY LICENSED ROOFER ON SEPARATE
F
PERMIT)
V
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by quch permit is not
commenced,
suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last insp tion.
IN-aA
TOTAL FEES
+$
Print
name of owner/agent Signature Da