HomeMy WebLinkAbout630 WARREN LNDG - PERMITS - 4/12/2004Community Planning & Environmental Services
Building & Inspections Division
i 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 630
PERMIT TYPE
ROOF Roofino -
Last Name, First, Middle Initial
ZAddress
3
O zip 630 WARREN
525
Front Setback
c)
Z_ Right Side Setback
Z
Plat File No.
J
Subdivision/PUD
a
w Lot
J
OCompany Name
H
U Address
O Phone
U
Electrical
og� Mechanical
O
F
Roofing
� nun
Z Framing' '
O
U
m Plumbing
V)
N
Concrete
City/State FORT COLLI
Phone No.
229-9880
Rear Setback
Left Side Setback
ZBA Case Number I Zoning District
Block Lot Area Parcel No.
V
Contractor License No.
City/State
Supervisor Cert. No.
License No.
License No.
License No.
1 ri t
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
B0402032 ACCOUNT
(1,11 12 't�.."UM uu i "' n Peron t N/ o .1iubs
PERMIT LEVEL CATEGORY TYPE
ISSU FUL Residential City Sales/Use Tax
Construction Type Occupancy Group [ j
County Sales lax
t'"In No. of Stories Building Height
O
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
!111Uv
TEAR OFF EXISTING SHAKE SHINGLES AND TAR & GRAVEL ON FLAT AREA OF HOUSE, INSTALL 150 FELT
ON 5/12 PITCH & 30# FELT ON 12/12 PITCH AND 30 YR ELK SHINGLES, INSTALL TPO ON FLAT ROOF AREA
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
eveq 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
com nced, suspe ed, abandoned or inspected within 180 days from date of suc permit or from the date of the last inspection. -
p - O (/
Print name of owner gent Signature Date —/ TOTAL FEES
FEE I DATE PAID I
$H J
4
II
$39.0
4/12/04
$tS.4
41 "1
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