HomeMy WebLinkAbout416 N SHERWOOD ST - PERMITS - 5/28/2004Community 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 416 N SHERWOOD ST
PERMITTYPE
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
HINKLE, ANNE
Z Address City/State
PERMIT
3 416 N SHERWOOD ST I FORT COLLINS, CO
Zip 80521 1
Phone No. 226-1001
Front Setback I Rear Setback
BUILDING PERMIT
Building Valuation
B0403439 ACCOUNT
PERMIT DATE
05/28/2004 Building Permit w/o Subs
LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
p No. of Stories Building Height
O
Q)
_Z Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District (See reverse
Subdivision/PU D Filing R 0 0
J
a
wLot Block Lot Area 0 Parcel No.
9711118016
OCompany Name Contractor License No.
Address City/State
I—
? Phone I Suoervisnr Cert_ Nn
Electrical
0::
Mechanical
License No.
H
URoofing
License No.
H
Z
Framing
License No.
V
m
Plumbing
License No.
c�
Concrete
License No.
TEAR OFF TO DECK AND REROOF WITH 20 SQUARES OF ASPHALT SHINGLES
HOMEOWNER TO DO WORK - HOMEOWNER AFFIDAVIT ON FILE
v
Inspection Description)
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 informatio . is permit shall become null and void if the work authorized by such permit is not
commenced, suspended,
aba/nddoned or inspected within 180 day ram he date of such permit or from the date of the last inspection.
A)A21ler— (
Print name of owner/agent ure Date TOTAL FEES
FEE I DATE PAID
$32.5
5/28/04
$30.0
5/28/04
$8.0
5/28/04