HomeMy WebLinkAbout604 CORNELL AVE - PERMITS - 7/23/2003Community Planning & Environmental Services
BUILDING PERMIT
Building & Inspections Division
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 4 6 9 7
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS604
PERMIT DATE
CORNELLAVE
'
07 ?3 , 00'
wilding Permit w/o Subs
ity Sales/Use Tax
$38.50
$29.04
7/23/03
7/23/03
PERMIT
TYPE
ROOF Roofing- ReRoofin
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
Construction Type
Occupancy Group
W
ROBERTS RHYS/CAM RON F/C
ounty Sales/Use Tax
$7. 74
7/23/03
Address
City/State
w
pNo. of Stories
Building Height
Z
3
604 CORNELL AVE
I FORT COLLINS. CO
O
0
Zip
W526
Phone No.
484-3943
V Building Square Footage I Stock Plan/Options
Front Setback
Rear Setback
! ,
Z
Right Side Setback Left Side Setback
•
Z
2
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
ROO
J
w
Lot Block Lot Area Parcel No9724313004
J
p
Name Contractor License No.
OCompany
Address City/State
Z
Phone Supervisor Cert. No.
V
Electrical License No.
0'
Mechanical
License No.
Roofing
License No.
H
License No.
OFraming
V
Plumbing
License No.
N
Concrete License
No.
REMOVE ONE LAYER OF EXISTING SHINGLES. INSTALL ICE AND WATER BARRIER AS NEEDED. DOUBLE
LAYER OF FELT AND 23.91 SQUARES OF 3-TAB SELF -SEAL FIBERGLASS SHINGLES.
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 the date of such permit or from the date of the last inspection.
6 M q- -I J D�
name of owner/agent Signature Date
Print
TOTAL FEES
$75.28