HomeMy WebLinkAbout4112 SADDLE NOTCH DR - PERMITS - 8/13/2004--m PERMIT FEES
Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division T
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 0
5224
ACCOUNT
JOB SITE ADDRESS4112 SAD= NOTCH DR
PERMIT DATE q p p q /
PERMIT TYPE 19004 Sutldl19 QQI"�It W,�O Subs ,,02,50 8/13/,04
PERMIT LEVEL CATEGORY TYPE
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Last Name, First, Middle Initial
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Construction Type
. ®gram
Occupancy Group
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LU
County Sale
Address
City/State
No. of Stories
Building Height
O
0
V
Zip
Phone No.
Building Square Footage
Stock Plan/Options
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
2
Plat File No.
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
I�00
Subdivision/PUD
Filing
Q
9
Lot Block Lot Area
Parcel No.
OCompany
Name
Contractor License No.
Address
City/State
Phone
Supervisor Cert. No.
v
Electrical
License No.
p�
mecnanicai
License No.
D2
Roofing
License No.
Fra ROOFING,
License No.
V
Plumbing
License No.
rn
concrere I License No.
TEAR OFF TO DECKING AND REROOF WITH NEW UNDEPI AYMENT AND CLASS A LAMINATED SHINGLES
20 SQUARES
W
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 dilate of such permit or from the date of the last inspection.
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Print name of owner/agent gnature Date