HomeMy WebLinkAbout619 BLUE MESA AVE - PERMITS - 10/27/2003Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
i Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 7 0 2
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 619 BLUE MESA AVE
PERMIT DATE 0 L r ` v
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BuiIdin Permit � o Subs
/
$31.0
'0;21 03
PERMITTYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
GARY, MICHAEL B/CAROL L
Z
Address
City/State
p No. of Stories
Building Height
3
619 BLUE MESA AVE
FORT COLLINS. CO
O
Zip
Phone No.
-)
Building Square Footage Stock Plan/Options
80526-2705
223-4454
Front Setback
Rear Setback
0
Z_
Right Side Setback
Left Side Setback
• • ••
Z
• � •
(See reverse side for Inspection Description)
n u o
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
a
wLot
Block Lot Area Parcel No.
J
0 9726324005
Name Contractor License No.
OCompany
U
a
Address City/State
Z
O
Phone Supervisor Cert. No.
U
Electrical License No.
p[
Mechanical
License No.
Roofing
License No.
KELIER n Nn
Framing
License No.
Z
0
m
Plumbing
License No.
v7
Concrete
License No.
TEAR OFF ASPHALT SHINGLES. APPLY 19 SQUARES OF 30# FELT AND REROOF WITH MALARKEY 50YR
LEGACY.
U`
MIDROOF INSPECTION IS REQUIRED
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 inspected within 180 days from the date of such permit or from the date of the last inspection.
name of owner/agen u _ D� /
TOTAL FEES
$31.0
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