HomeMy WebLinkAbout925 BOLTZ DR - PERMITS - 7/28/2003Community Planning &Environmental Services
B U I L D I N G PERMIT
PERMIT
�- Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
12200-00
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 4 8 6 8
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS925 BOLTZDR
PERMIT DATE 07/28/`2)0013
Building Permit w/o Suds
City Sales/Use Tax
po t y S I 11
��n� a es/Jse Tax
$38.50
$40.50
$ 10.8C
7/28/03
7/28/03
' / 3
7 28 C,
PERMIT
TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Lassa NEaXme.ONMid�Ntial I
J
Construction Type
Occupancy Group
Z
Address
City/State
Wp No. of Stories
Building Height
3
925 BOLTZ DR
FORT COLLINS, CO
O
O
Z�p80525-2802
Phone No. 226-4879
Building Square Footage Stock Plan/Options
0
Front Setback
Rear Setback
Z
14
Right Side Setback
Left Side Setback
Z
(See reverse side for Inspection Description)
Plat File No. ZBA Case Number
Zoning District
Subdivision/PUD
Filing
R0IV,
_
Q
w
J
Lot Block Lot Area 0 Parcel Nog 7 2 5 4 0 B 0 5 3
Name Contractor License No.
ceCompany
ID
Address City/State
Z
0
Phone Supervisor Cert. No.
U
Electrical License No.
Mechanical
License No.
GRoofing
BELL RCOFINC, INC.
License No.
R 1536
ZZ
Framing
License No.
mPlumbing
License No.
V)
Concrete
License No.
TEAR OFF ONE LAYER AND REROOF USING 27 SQUARES ELK 30 YEAR LAMINATED
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 pe mit shall be ome null and void if the work authorized by such permit is not
commenced
suspended, abandoned or inspected within 180 days fr the to of ermit or from the date of the last inspection.
l
G Cis
6 Date
TOTAL FEES
$89.80
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na o u wner/agent Igna e