HomeMy WebLinkAbout919 BITTERBRUSH LN - PERMITS - 2/12/2001Planning &Environmental Services g U I LD I N G PERMITPERMIT
FEES
Building & Inspections Division
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P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
CitvofF� Phone (970) 221-6760 Fax (970) 224-6134 B0100470
ACCOUNT
FEE
DATE PAI[?
JOB
SITE ADDRESS 919 BITTERBRUSH LN
PERMIT DATE 02/ 12/2001
Building Permit w/o Subs
$25.00
2/12/01
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Fkli-%Fkwfin
ISSU_FUL
I RESIDENTIAL
City Salelf/Use Tax
$13. f
2/12/Ot
Last Name, First, Middle Initial
Construction Type
Occupanpy Group
County Sales/Use Tax
;3.5
2/12/01
Z
Address
city / State
wp No. of Stories
Building Height
fin FIAr'IFR go
FORT COLL
O
O
Zip Phone
80525
No.
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
Z_
r,
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
ROO
"
_
Q
J1
Lot Block Lot Area Parcel No.
0 9735307015
Name Contractor License No.
OCompany
G
Address
City/State
OPhone
Supervisor Cert. No.
V
Electrical License No.
GMechanical
License No.
Roofing
License No.
- 400
O
V
Framing
License No.
Plumbing
License No.
w
REROOF REMOVE 1 LAYER OF EXISTING. INSTALL ICE AND WATER SHIELD AS NEEDED,
INSTALL 16# FELT UNDERLAYMENT AND NEW STAB SELF SEAL FIBERGLASS SHINLGES
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14.70 SQUARES
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u
TAX BASED ON $438.89 IN MATERIALS
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t
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
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