HomeMy WebLinkAbout626 REMINGTON ST - PERMITS - 1/3/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
-
Fort Collins, CO 80522-0580
$3,100.001
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B0500010
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 626 REMINGTONST
PERMIT DATE 0 1/03/2005
Building Permit w/o Subs
City Sales/Use Tax
y Sales/Use Tax
County
$44.5
$46.5
$12.4
1/3/05
1{3{05
1/3/05
PERMIT
TYPE
ROOF Roofing - ReRoofing
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential
Last Name, First, Middle Initial
MITCHELL, DONALD REED
Construction Type
Occupancy Group
Z
Address
809 E ELIZABETH ST
City/State
FORT COLLINS, CO
WQ No. of Stories
O
Building Height
U
Zip
80524-3844
Phone No
484-0079.
Building Square Footage
0
Stock Plan/Options
Front Setback
Rear Setback
0
• • •
Z_
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
(See reverse side For Inspection Description)
R O 0
Subdivision/PLID
Filing
Q
W
Lot
Block
Lot Area O
Parcel No. 9113211013
OCompany
Name
Contractor License No.
V
Address
City/State
Z
O
Phone
Supervisor Cert. No.
V
Electrical
I License No.
W
Mechanical
License No.
Roofing
License No.
SHIRK AJ ROOFING
Z
Framing
License No.
V
m
Plumbing
License No.
N
Concrete
License No.
TEAR OFF & REROOF WITH 31 SQUARES
8
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, susWndpd, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
TOTAL FEES
Print name of owner/agent Signature Date