HomeMy WebLinkAbout906 W MOUNTAIN AVE - PERMITS - 4/21/2005Community 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 906 W MOUNTAIN AVE
PERMITTYPE ROOF Roofing - ReRoofing PERMn
Last Name, First, Middle Initial
W OAKES,TED
Z Address City/State
912 W MOUNTAIN AVE FORT COLLINS, CO
O Zip 80521 Phone No, 482-2121
V'
_Z Right Side Setback Left Side
Z
� Plat File No. ZBA Case Number
Q w Lot Block Lot Area O Parcel No. 91 i 1301002
J
9E Company Name Contractor License No.
Phone
Electrical I License
ce
mecnanicai
License No.
O
Roofing
License No.
Framing
O
License No.
V
DPlumbing
License No.
rn
Concrete
License No.
TEAR OFF AND REROOF USING 20 SQUARES
HOMEOWNER A,j FFIDAVIT ON FILE
BUILDING PERMIT
�y
Building Valuation
B050 y 1 823
ACCOUNT
PERMIT DATE
04/2 1 /2005 Building PerTit w/o Subs
EVEL ISSU_FUL CATEGORY TYPE Residential City Sales/Use tax
Construction Type Occupancy Group
County Sales/Use Tax
ONo. of Stories Building Height
v
Building Square Footage 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 permi 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 such permit or from the date of the last inspection.
Print name of owner/agent nature Date-���f� TOTAL FEES
FEE I DATE PAID
$32.5 4/21/05
$30.0 4/21/05
$8.0 4/21/05