HomeMy WebLinkAbout615 MAPLE ST - PERMITS - 9/19/2002Community 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 0 2 0 5 8 9 2
1 300.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 615 MAPLE ST
PERMIT DATE 09/19/2002
Buil Permit
ding
City Salats/Use
County Sales/Us
x $22.0
a $19. 5
05.20
9/19/02
9/19/02
9/19/02
PERMIT
TYPE
ROOF Roofing - ReRoofin9
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
RESIDENTIAL
o,
Last Name, First, Middle Initial
CABRERA, BERTHA MARIE
Construction Type
Occupancy Group
w
3
Address
615 MAPLE ST
City/State
FORT COLLINS. CO
u'p No. of Stories
0 0
Building Height
0
ZipV
80521-193;i
Phone No. 4�a�-90�6
Building Square Footage Stock Plan/Options
Front Setback
Rear Setback
0
Z_
Z
Right Side Setback Left
Side Setback
• •
�
�
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
ROO
J
w
Lot Block Lot Area 0 Parcel'09711230013
Name Contractor License No.
OCompany
Address City/State
H
ZC
Phone Supervisor ert. No.
V
Electrical License No.
ORMechanical
License No.
Roofing
R & B ROOFING
Framing
License No.
R-1698
License No
ZO
V
Plumbing
License No.
�
N
Concrete
License No.
TEAR OFF TO DECK AND REROOF HOUSE WITH 13 SQUARES AND APP180 FIRESTONE MODIFIED
ROOFING ON PORCH
V
As a
described
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
herein. I agree to comply with all City ordinances, and State laws
event
associated with such work. I understand that such permit may be revoked in the
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 f su per t or from the date of the last inspection.
°�Q12Z
name of owner/agent igna re Date /�ld
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