HomeMy WebLinkAbout912 PIONEER AVE - PERMITS - 7/8/2005Community 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 912 PIONEER AVE
PERMITTYPE PERMIT
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
HOLMQUIST, NANCY NASH
W Address City/State
912 PIONEER AVE I FORT COLLINS, CO
O Zip Phone No.
80521-3523 221-3381
Front Setback Rear Setback
_Z Right Side Setback Left Side Setback
Z
Q Plat File No. ZBA Case Number Zoning District
Lot Block Lot Area Parcel No.
0 9114209016
W Company Name Contractor License No.
0 ATLAS ROOFINC 8 CONST C1 154
Address City/State
525 S. TAFT HILL RO FORT COLLINS, CO 8(
Z Phone Supervisor Cert. No.
° 970 484 1177
ElectricalI License No.
w
O
mecnanicai
License No.
Roofing
License No.
Framing
O
License No.
U
m
V)
Plumbing
License No.
N
Concrete
License No.
BUILDING PERMIT
Building Valuation
B0500002 1 000.00
ACCOUNT FEE DATE PAID
PERMIT DATE
07/08)/2005 Building Permit w/o Subs $31.00 1/8/05
.EVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use lax $18.15 1/8/05
Construction Type Occupancy Group
County Sales/Use Tax $5.00 7/8/05
Wp No. of Stories Building Height
O
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
ROO
REMOVE AND REPLACE 19 SQUARES OF ASPHALT SHINGLES. TAX BASED ON $625.00 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
Date I TOTAL FEES 1 $54.751