HomeMy WebLinkAbout901 COULTER ST - PERMITS - 5/12/2005Community 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
OB SITE ADDRESS
PERMIT TYPE
Last Name,
W Addr ss
Q Zio
(7
_Z Right Side Setback
Z
Plat File No.
Subdivision/PUD
Q
w Lot
J
W Mechanical
O
Roofing
H
Z Framing
V
m Plumbing
N
Concrete
I8
Block ILot Area
Phone No.
Rear Setback
Contractor
License No.
License No.
License No.
License No.
License No.
License No
PERMIT
BUILDING PERMIT
Building Valuation PERMIT FEES
B0502213
ACCOUNT
FE
'DATE PAID
PERMIT DATE
Building Permit w/o Subs
City Sales/Use Tax
County Sales/Use Tax
$29.5
$19 . 2
$ 5.1
5/12105
5 / 12/0 5
5/ 12 /05
EVEL
CATEGORY TYPE
Construction Type
Occupancy Group Residential
p No. of Stories
0
Building Height
Building Square Footage
Stock Plan/Options
REQUIRED INSPECTIONS
District (See reverse side for Inspection Description)
! 0 0
Parcel No.
REMOVE AND REPLACE ROOF WITH 18 SQUARES OF ASPHALT SHINGLES. TAX BASED ON $640.00
MATERIALS.
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.
Print name of owner/agent
signature
Date
TOTAL FEES I +�1sa A;