HomeMy WebLinkAbout924 SANDY COVE LN - PERMITS - 3/16/2004" a Community Planning &Environmental Services
,
Building & Inspections Division BUILDING P E RM I TPERMIT
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 4 a 1 3 1 2
3
00.00
ACCOUNT
FEE
DATE PAID
SITE ADDRESS 924 SANDY COVE LN PERMIT DATE r�V,f
,J ��,/�O
JOB
Building Permit w/o Subs
$35.5
3;;6/04
PERMITTYPE
PERMIT LEVEL CATEGORY TYPE
ROOF Roofing ReRaafing ISSU_FUL Residential
City Sales/Use Tax
$45.0
3/16/04
Last Name, First, Middle Initial
De
TIBBOEL, BRUCENICKI
Construction Type
Occupancy Group
Z
County Sales/Use Tax
$ F 2.0
3 / 16 i 04
Address City/State
924 SANDY COVE LN FORT COLLINS, CO
p No. of Stories
O
V
Building Height
3
O
Zip 80525-3325 Phone No. 226-2654
Building Square Footage
Stock Plan/Options
Front Setback
Rear Setback
0
! 0
Z_
Z
•
Right Side Setback Left Side Setback
IV
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
R 0 0
J
wLot
Block Lot Area Parcel No.
C. 913640901/
Company Name Contractor License No.
QAddress
City/State
ZO
Phone Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
H
Roofing
License No.
0—n:
b nF it irn
iti +'57
ZO
Framing
License No.
V
jPlumbing
License No.
Concrete
License No.
TEAR OFF EXISTING SHINGLES TO DECK, INSTALL 30# FELT AND REROOF WITH 30 YR DIMENSIONAL
SHINGLES, METAL VALLEYS, PIPE BOOTS 32 SQUARES
l—
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 date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
Print
TOTAL FEES
$95.