HomeMy WebLinkAbout4307 BLACK HAWK CIR - PERMITS - 9/12/2005Community Planning &Environmental Services
FEES
Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$2.400.00
CityofFortCollins Phone (970) 221-6760 Fax (970) 224-6134 B0505267
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 47 BLACK HAWK CI4
PERMIT DATE
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PERMIT
TYPE ROOF I�oofin�, R.Rocfing
PERMIT LEVEL
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CATEGORY TYPE Resldenttal
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Construction Type
Occupancy Group
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Add 'n07 BLACK HANK CR City/StateFOR , COLLIN CO
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Building Height
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Zip 80526
Phone No. 9.�. 3�� 753151 9V
Building Square Footagt Stock Plan/Options
Front Setback
Rear Setback
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Right Side Setback
Lett Side Setback
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Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
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Subdivision/PLID
Filing
Lot
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Block Lot Area tl
Parcel No.
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Company Name
I Contractor License No.
Address
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License No.
License No.
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License No.
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Framing
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License No.
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Plumbing
License No.
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Concrete
License No.
REMOVE EXISTING SHINGLES AND REROOF WITH 24 SQUARES OF 30 YR CLASS A SHINGLES
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