HomeMy WebLinkAbout836 HINSDALE DR - PERMITS - 4/18/2006Community Planning &Environmental Services BUILDING PERMIT
PERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-05 80
$ 4,
0 0.0 0
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
$50..
$ 7 3.
$19.
0 4/18/0
0 4 J i B / 0
0 4 / 18 / 0
JOB SITE ADDRESS 836 HINSDALE DR
PERMIT DATE 04/ 18/2006
Building Permit w/o Sub
PERMIT TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
Residential
City Sales/Use tax
Last Name, First, Middle Initial Construction Type Occupancy Group County Sales/Use Tax
J k.^ I s
tY
SANDFORT, DELVIN R/MARY C , o
Wp
Z
Z
Address City/State No. of Stories Building Height
836 HINSDALE DR FORT COLLINS, CO
0
Zip Phone No. Building Square Footage Stock Plan/Options
W526-3914 0
Front Setback Rear Setback !
Z_
Right Side Setback Left Side Setback • . • • .
Z
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PLID Filing i' 00
Q
wLot
Block Lot Area Parcel No.
9602205006
Name Contractor License No.
OCompany
Address City/State
OPhone
Supervisor Cert. No.
U
Electrical License No.
Mechanical License No.
O
Roofing License No.
' $' 9
ACC PICICIFING, 1111L R
ZZ
Framing License No.
50
D
Plumbing License No.
Concrete License No.
REMOVE AND REROOF WOOD SHAKES
49 SQUARES
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
As
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.
- q- (�
,.j W
, ,`�OL`'�- TOTAL FEES
$143.
Pr
ame of owner/a Signature Date