HomeMy WebLinkAbout4130 WARBLER DR - PERMITS - 9/24/2004 (2)Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
citvdlo tcoll ns phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4130 WARBLER DR
PERMIT TYPE PER
ROOF Roafina - ReRoafina
BUILDING PERMIT
Building Valuation
60406052 ACCOUNT
PERMIT DATE
09 24 2004 Building Penlit w/o Subs
EVEL CATEGORY TYPE
iSSU-FUL Residential City Sa "Me'Tax
Construction Type Occupancy Group
1W %-.W"%.nCL nwr
W Address City/State p No. of Stories Building Height
4130 WARBLER DR FORT COLLINS CO o
O Zip 80526-3678 Phone No. 227-1286 V Building Square Footage Stock Plan/Options
Front Setback Rear Setback th 6'
101
Z Right Side Setback Left Side Setback
N Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PUD Filing R 00
�j Lot Block Lot Area Parcel No.
01 9735409004
W Company Name Contractor License No.
QAddress City/State
W
Mechanical
License No.
10
Roofing
KTFU STDING ROOFTNG
License No.
ZZ
Framing
License No.
V
m
Plumbing
License No.
N
TEAR OFF AND REROOF WITH 21 SQUARES
8
As a condition for the issuance of a permit, I hereby declare that 1 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 d to o t e last inspection.
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Print name of owner/agent Signature Date
Sales/Use Tax
38.50 9/24/04 1
$8.40 9/24/04