HomeMy WebLinkAbout412 GOLDENEYE DR - PERMITS - 5/27/2003�e Community 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 ADDRESS412 GOLDENEYE DR
PERMIT TYPE
ROOF Roofing.- ReRoofin
Last Name, First, Middle Initial
KEEN BARBARAJEANNE
Z Address te
City/Sta
3 412 GOLDENEYE DR FORS' Ct
Zip Phone No.
80526-3665 223-3668
Front Setback I Rear Setback
BUILDING PERMIT
Building Valuation
B0302904 ACCOUNT
PERMIT DATE
Construction Type Occupancy Grc
LU
0 No. of Stories Building Height
O
Building Square Footage Stock Plan/Options
0
Z Right Side Setback Left Side Setback • • • •
Z
� Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PUD Filing R00
Q
wLot Block Lot Area Parcel No.
9735414009
Company Name Contractor License No.
City/State
Phone
Electrical I License No.
p�
mecnanicai
License No.
Q
F-
Roofing
License No.
Z
Framing
License No.
V
cO
Plumbing
License No.
N
Concrete
License No.
TEAR OFF TO DECK AND INSTALL 15#t FELT, 25 YR ELITE SHINGLES
23 SQUARES
18
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 isNance was based gKincorrect or incomplete information. T ' permit shall become null and void if the work authorized by such permit is not
im
enced, spended, aba on or inspected within 180 days from th date of such pe it r from the date of the last inspection.)k5g )4
Print name of owner/agent Signature Date
jilding Permit w/o Subs
ity Sales/Use Tax
)unty Sales/Use Tax
TOTAL FEES
FEE I DATE PAID
$28.00 5/27/03
$25.50 5/27/03
$6.80 5/21/03