HomeMy WebLinkAbout613 S LOOMIS AVE - PERMITS - 12/18/2002Community Planning &Environmental Services BUILDING PERM 1 TPERMIT
Building & Inspections Division
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-05 80
City of Fort Collins
B 0 2 0 7 5 2 6
$1, 4 3 O Q
phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATEPAID
JOB
SITE ADDRESS 613 S LOOMIS AVE
PERMIT DATE 12/ 18/2002
Building Permit w/o Subs
City Sales/Use Tax
Y
County Sales/Use Tax
$25.0
$1.1:7
$3.1
12/18/02
1.2/18/02.
12/18/02
PERMITTYPE
ROOF Rooting - ReRodin 9
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
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Construction Type
Occupancy Group
Z
3
Addrll''LLAAIIiiRR
City/State
��33 GLOBE CT FORT COLLINS, CO
p No. of Stories
0
Building Height
0
Zip ams
Phone No. 28.2-1138
U
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
Z
Z
Right Side Setback Left Side Setback
•
N
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
ROO
J
w
Lot Block Lot Area O Parcel No. 9714211028
Name Contractor License No.
OCompany
Address City/State
F--
Z
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
CRoofin
ATLAS ROOFING SYSTEMS
Framing
License No.
R-695
License No.
ZZ
V
License No.
�Plumbing
N
-
Concrete
License No.
REROOF WITH 141/3 SQUARES
TAX BASED ON MATERIAL COST OF $392
As a
described
conditi n 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 fro the date of ch permit or from the date of the last inspection.
Print
DI D L
name of owner/agent Signat a Date r
TOTAL FEES