HomeMy WebLinkAbout4213 KINGSBURY DR - PERMITS - 1/6/2005Community Planning &Environmental Services BUILDING PERMIT
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building voluotion
Fort Collins, CO 80522-0580
City of Foy cams phone (970) 221-6760 Fax (970) 224-6134 B 0 5 0 0 0 4 1
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4213 KINGSBURYDR
PERMIT DATE
01 06 y2005
Building Permit w/o Subs
$31.0
1/6/05
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
ROOF Roofing-ReRoofin
ISSU FUL
Residential
City Sales/Use Tax
$27.9
1/6/05
Last Name, First, Middle Initial
Construction Type
Occupancy Group
County Sales/Use Tax
$7.4
1/6/05
Address
City/State
in No. of Stories
Building Height
ZLU
34213
KINGSBURY DR
FORT COLUNS,CO
0
U
Zip
Phone No.
Building Square Footage
Stock Plan/Options
O
80525
282-3447
Front Setback
Rear Setback
0
Z
Right Side Setback
Left Side Setback
• • •
Z
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Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See reverse side for Inspection Description)
R00
J
wLot
Block Lot Area Parcel No.
J
O
Name Contractor License No.
OCompany
aAddress
City/State
f--
Z
O
Phone Supervisor Cert. No.
Electrical License No.
W
Mechanical
License No.
Roofing
License No.
F—
Framing
License No.
ZZ
m�
Plumbing
License No.
to
Concrete
License No.
TEAR OFF 1 LAYER OF SHINGLES & REPLACE WITH 30 YR TAMKO HERITAGE SHINGLES 18.66 SQUARES
lk—
Asa
ondition 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 ate of uch permit r from the date of the last inspection.
(-6-oS-
name of owner/agent Signature Date
Print
TOTAL FEES
$66.4