HomeMy WebLinkAbout415 E LAUREL ST - PERMITS - 10/6/20054^2 Community 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 415 E LAUREL ST
'ERMITTYPE ROOF Roofing - ReRoofing
Last Name, First, Middle Initial
W MELTON, DONNA B
Z Address City/Sta
3 415 E LAUREL ST
O zip WPhone No.
524-3153
O
(ZZi Right Side Setback
IV Plat File No.
Subdivision/PUD
Q
w I Lot
J
OCompany Name
QAddress
Phone
W Mechanical
O
Roofing
OIAM
Z Framing
O
U
m Plumbing
N ,
Concrete
8
FORT COLUNS, CO
482-5430
Rear Setback
Left Side Setback
ZBA Case Number Zoning District
Block I Lot Area
BUILDING PERMIT
Building Valuation
B0505843 $2 300.00
ACCOUNT FEE DATE PAID:
PERMIT DATE
10/06/2005 Building Permit w/o Subs $38.5 1A0/S/05
LEVEL ISSU_FUL CATEGORY TYPE Residential City Sales/he Tax $34.5 1II/6/VAAJ
Construction Type Occupancy Group
County Sales/Use Tax $9.2 10/6/05
p No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
0
01 Parcel No. 9713216009
a No.
City/State
License No.
License No.
License No.
RI
License No.
License No.
License No.
(See reverse side for Inspection Description)
R00
REMOVE WOOD SHINGLES AND REPLACE WITH 23 SQUARES OF DIMENSIONAL SHINGLES AND 30# FELT.
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
ccoo'm'm�epcced, suspended, aba�ndd�onedd or inspected within 180 days the date of such permit or from the date of the last inspection.
Print rfame of owner/agent Ignature Date