HomeMy WebLinkAbout2519 Charolais Dr - Permits/Basement Finish - 10/27/2006Community Planning &Environmental Services BUILDING PERMITPERMIT
Division
FEES
Building & Inspections
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
city of F Phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 5 0 7
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS
PERMIT DATE
51
" /"n
BuilWing Per'mit.v/Subs ._..
$218,18_10J21/0
PERMIT
TYPE
PERMIT LEVEL
CATEGORY TYPE
BS NT Basement Finish-ResidentialI
_Plan Check Fee_ _
___ $15,.00.
10/27/0
Last Name, First, Middle Initial
Construction Type
Occupancy Group
City Sales/Use Tax
$490.94
10/2710
Address
City/State
in No. of Stories
Building Height
Z
3
Ccunty_Sales/Use lax
$130.92
O
_10/27/0
Zip Phone
80526
No.
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
Right Side Setback Left Side Setback
_Z
Z
I•
•
2
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
P,P Rr1ct
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IN - F fi El F 11 E
- - -
- -` - --- --
Lot Block Lot Area Parcel No.
Company Name Contractor License No.
F14P FNM SPI
UCP F P FP
cl, ' I
RE
_
Address City/State
a
0
FORT COHINS
_
Phone Supervisor Cart. No.
V
Electrical License No.
rr
Mechanical
License No.
Roofing
License No.
Z
Framing
License No.
m
Plumbing
License No.
N
T r
QUA
of
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Concrete
License No.
BASEMENT FINISH - LIVING ROOM, 2 BEDROOMS, BATHROOM AND LAUNDRY CLOSET.
HOMEOWNER AFFIDAVIT ON FILE
w
As
a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described
herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event
that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
comme
ed, suspended, abandoned or inspected within 180 days from the such permit date of the last inspection.
ali9✓(�/S�eJO✓
it ame of owner/agent a Date
TOTAL FEES
�91$.
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