HomeMy WebLinkAbout813 SKYLINE DR - PERMITS - 7/20/2005Community 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 813 SKYLINE DR
PERMIT TYPE PER
ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
ce QUAID, HANNE K/MiCHAEL R
w Address
Z City/State
3 813 SKYLINE DR FORT COLLINS, C
� Zip Phone No.
80521 227-9318
Front Setback I Rear Setback
BUILDING PERMITPERMIT
FEES
Building Valuation
B 0 5 0 3 7 6 2
ACCOUNT
FEE
DATE PAID
PERMIT DATE
07 20/2005
Building Perm 'It w/o Subs
City Sales/Use Tax
$26.50
$24.00
7/20/05
7/20/05
EVEL
ISSU_FUL
CATEGORY TYPE
Residential
Construction Type
Occupancy Group
County Sales/he Tax
$6.40
7/20/05
ONo. of Stories
V
Building Height
Building Square Footage Stock Plan/Options
_Z Right Side Setback Left Side Setback • • • •
Z '
Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
J Subdivision/PUD Filing noo
a
wLot Block Lot Area Parcel No.
0 9715207176
9E Company Name I Contractor License No.
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
License No.
OMechanical
F—
Roofing
License No.
License No.
OFraming
V
m
Plumbing
License No.
N
Concrete
License No.
TEAR OFF AND REROOF USING 16 SQUARES
HOMEOWNER AFFIDAVIT ON FILE
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.
u— Of
Print name of owner/agent i� a Date TOTAL FEES $56,