HomeMy WebLinkAbout433 CLOVER LN - PERMITS - 9/29/2004Community 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 433 CLOVER LN
PERMIT TYPE
ROOF Roofing - ReRoofin
Last Name, First, Middle Initial
FRAZIER SARA J
Z Address City State
3 433 CLOVER LN FORT 0
Zip Phone No.
80521-1652 484-9611
Front Setback I Rear Setback
0
Z_
Right Side Setback
Left Side Setback
Z
�
Plat File No.
ZBA Case Number
Zoning District
J
Subdivision/PUD
Filing
Q
wLot
Block
Lot Area
Parcel No.
J
0
97
OCompany
Name
Contractor License No.
f—
Q
Address
City/State
License No.
W
Mechanical
License No.
0
F—
Roofing
License No.
Z
Framing
License No.
U
m
Plumbing
License No.
N
Concrete
License No.
ROOF REPAIR USING 3 SQUARES
8
H
BUILDING PERMIT
Building Valuation
B0406130 ACCOUNT
PERMIT DATE
09/29 2004 Building Permit w/o Subs
IT LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
County Sales/Use Tax
p No. of Stories Building Height
0
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
R00
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 dateaLsuch mit rom the e o the last inspection.
Z
Print name of owner/agent S na ure Ilat TOTAL FEES
FEE I DATE PAID
$15.0 9/29/04
$4.5 9/29/04
$1.20 9/29/04
LIM