HomeMy WebLinkAbout424 WEST ST - PERMITS - 4/11/2005Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
cifv of Fort Collins$1,200.00
phone (970) 221-6760 Fax (970) 224-6134 B 0 5 01 5 7 5
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 424 WEST ST
PERMIT DATE
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PERMIT
TYPE
PERMIT LEVEL
ROOF Roofing - ReRoofing ISSU_FUL
CATEGORY TYPE
Residential
City Sales/Use Taz
Unity Sales/Use Tax
19 , O
$4. C,
4 ' /C
4 " ; C5
Last Name, First, Middle Initial
STROH. HATTIE
Construction Type
Occupancy Group
W
Z
3
,
Address City/State
424 WEST ST FORT COLLINS, CO
w
O No. of Stories
Building Height
Zip 482-6526
80521-1859 Phone No.
U
Building Square Footage Stock Plan/Options
Front Setback Rear Setback
0
0
! •
Z
Z
Right Side Setback Left Side Setback
• •
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
in, OO
J
wLot
Block Lot Area Parcel No.
9711222012
Name Contractor License No.
ATLAS ROOFING & CONST C1 154
OCompany
G
Address
525 S. TAFT HILL RU
City/State
FORT COLLINS, CO 80521
Phone Supervisor Cert. No.
970 484 7777
Electrical License No.
OMechanical
License No.
Roofing
License No.
H
Z
Framing
License No.
U
CID
Plumbing
License No.
V)
Concrete
License No.
REMOVE AND REPLACE WITH 12 SQUARES OF ASPHALT SHINGLES.
I —
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 date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
Print
TOTAL FEES
$43.3