HomeMy WebLinkAbout629 SMITH ST - PERMITS - 5/16/2003Community Planning & Environmental Services
Building & Inspections Division BUILDING PERMIT
PERMIT 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 3 0 2 7 4 57
d 0.
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS629 SMITH ST PERMIT DATE
0 ! �/ 16/2003
PERMIT TYPE
uilding Permit w/o Subs
$28.00
5/16/03
PERMIT LEVEL CATEGORY TYPE
ROOF Roofing - ReRoofing ISSU_FUL Residential
Last Name, First, Middle Initial
it Sales Us
y / e Tax
$25.50'
5/16/03
Construction Type cupancy Group
TODD C
,
Address
Z Afi29 SMITH ST City/State Wp No. of Stories Height
[Building
3 FORT COLLINS, CO O
ounty Sales/Use Tax
$ 6.80
5 / 16 / 03
hone No. V Building Square Footage Stock Plan/Options
O Z10524-3120 P224-5483
Front Setback
Rear Setback
I
Z_
Z
Right Side Setback Left Side Setback
•
N
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
R00
Q
Subdivision/PUD
Filing
wLot
Block Lot Area Parcel No.
0
9713214005
Q
Company Name Contractor License No.
QAddress
City/State
nPhone
SUperVISOr Cert. No.
I License No
FO-
Mechanical
License No.
Roofing
License No.
HA.1
ROOFING_
ZO
Framing
License No.
V
�
Plumbing
License No.
N
Concrete
License No.
TEAR OFF AND REROOF WITH 17 SQUARES
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 th date of such permit or from the date of the last inspection.
01
e1/e �Al/ �--> s : D
Print name of o er/agent Sign ure Date TOTAL FEES $60.30