HomeMy WebLinkAbout4700 BOARDWALK DR - PERMITS - 9/23/2005Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityafFort collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4700 BOARDWALK DR
PERMIT TYPE ROOF Roofing - ReRooffng PERMI
Last Name, First, Middle Initial
BENENSON BOARDWALK FT COLLINS
Z Address City/State
3 1301 SE 10TH ST BENTONVILLE. AR
� Zip Phone No.
72716-0155
0
Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number I Zonina District
BUILDING PERMIT PERMIT FEES
Building Valuation
B0505486 $204 000.00
ACCOUNT FEE DATE PAID
PERMIT DATE
09/23/2005 Building Petsit w/o Subs $693.0 9/23/05
.EVEL CATEGORY TYPE
fSSU_FUL Non Res Bldg Cons
Construction Type Occupancy Group
p No. of Stories Building Height
0
Building Square Footage Stock Plan/Options
J "
Q
wLot Block Lot Area 0 Parcel No.
9601117001
Address
License
(See reverse side for Inspection Description)
R00
IX Mechanical License No.
Roofing License No.
SUPERIOR ROOFING, INC R 1802
Framing License No.
0
V
V m Plumbing License No.
N
Concrete License No.
REMOVE GRAVEL & EPDM OFF EXISTING ROOF LEAVING INSULATION, THEN INSTALL A MECHANICALLY
ATTACHED .060 ML REINFORCED EPDM OVER THE EXISTING INSULATION PER MANUFACTURER'S
REQUIREMENT. Provide installation requirements to field during inspection.
As a c6ndition 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.
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Print name of owner/agent Signature Date