HomeMy WebLinkAbout801 GALLUP RD - PERMITS - 2/23/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 8Q1 GALLUP RD
PERMIT TYPE PER
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
FREE N, DIANA L
Z
Z Address
City/State
3 801 GALLUP RD FORT COLONS t
0 Zip Phone No.
80521-3103 484-8185
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
BUILDING PERMIT
Building Valuation
B0100859 ACCOUNT
PERMIT DATE
t 2'2j '2004 Bull luifig Pen�it w/o Suss
.EVEL CATEGORY TYPE
ISSU FUL Residential City Soles/Else fax
Construction Type Occupancy Group
W vovty )ales/Use ia"n
p No. of Stories Building Height
O
Building Square Footage I Stock Plan/Options
J
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
4
0�i5i2�uv
OCompany
Name
Contractor License No.
F--
Address
City/State
ZPhone
Supervisor Cert. No.
V
Electrical
License No.
License No.
OMechanical
Roofing
License No.
H
Z
0
Framing
License No.
V
Plumbing
License No.
N
Concrete
License No.
(See reverse side for Inspection Description)
�v
TEAR OFF 2 LAYERS AND REROOF USING 25 YEAR 3 TAB SHINGLES - 30 SQUARES
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent,
described herein. I agree to comply with all City ordinances, and State laws associated with such wor
event that issuance was based on incorrect or incomplete information.-9 permit shall become null
Antname
ed, suspended, abandoned or inspected within 180 days a date of uc ermit or
a
of to
Signature
�thrized to perform the proposed work on the property
derstand that such permit may be revoked in the
id if the work authorized by such permit is not
the date of the last inspection. , ,
TOTAL FEES
FEE
$38.J
$45.0
yi2.0
DATE PAID
2/231104
2/23/04
2%243/04