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HomeMy WebLinkAbout605 BIRKY PL - PERMITS - 9/16/2003Community Planning &Environmental ServicesOMMM Building & Inspections Division BUILDING PERMIT PERMIT FEES P.O. Box 580 281 N. College Ave. - Fort Collins, CO 80522-0580 Building Valuation City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 F B0306080 ACCOUNT FEE_ DATE PAID JOB SITE ADDRESS PERMIT DATE nf3% Building ?er��t W/0 SuCs .3u r 9�15�03 605 BIRKY PL PERMITTYPE iE>I2oo�� ROOF Roofing ReRoofin PERMIT LEVEL CATEGORY TYPE 9 " 9 ISSU_FUL Last Name, First, Middle Initial Residential Ix GUTIERREZ JUSTINE Construction Type Occupancy Group w 3 Address 6Q5 81RKY PL City/state p W No. of stories Building Height FORT Co'O LINS CO zip Phone No. Building Square Footage Stock Plan/Options 80526-1905 484-0441 Front Setback Rear Setback _Z Z • • • Right Side Setback Left Side Setback NPlat File No. ZBA Case Number Zoning District • , • (See reverse side for Inspection Description) J SubdivisioNPUD Filing g poo wLot Block Lot Area Parcel No. � 0 9723210002 Company Name Contractor License No. QAddress City/State 2� Z Phone Supervisor Cert. No. U Electrical License No. O Mechanical License No. 1•— Roofing License No. H SLEU T IP Framing n s 229 License No. ZO U D Plumbing License No. N Concrete License No. TEAR OFF EXISTING ROOFING AND APPLY ICE SHIELD, 15# FELT AND TAMKO 30 YR HERITAGE SHINGLES 22 SQUARES 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, As a described event and State laws 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 commenced, work authorized by such permit is not suspended, abandoned orinspectedwithin 180 days from the date of such permit or ate of the last inspection. name of owner/agent gnature Date Print TOTAL PEES $38.