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HomeMy WebLinkAbout5156 Cinquefoil Ln - Permits/Basement Finish - 10/14/2005Community Planning & Environmental Services Building & Inspections Division P.O. Box 580 281 N. College Ave. Fort Collins, CO 80522-0580 City of Fort Collinsphone (970) 221-6760 Fax (970) 224-6134 JOB SITE ADDRESS 5156 CINQUEFOIL LN PERMIT TYPE PERMIT BSMNT Basement Finish -Residential Last Name, First, Middle Initial ,JO 4ANSON. STEPHEN Uj Address City/State 5156 CINQUEFOIL LN FORT COLLINS, CO O Zip 80528 Phone No. 222-0863 BUILDING PERMIT I PERMIT FEES Building Valuation B0506093 $20,790.00 ACCOUW FEE ©ACE AILi PERMIT DATE 10/ 14/2005 Building Permit w/ Subs plan deck Fee City Sales/Use Tax County'Sales/Use Tax $197.7 $15.0 $311.8 $83.1 10/14/05 10/ 14/05 10/14/05 10/14/05 .EVEL ISSU_FUL CATEGORY TYPE I Residential Remodel Construction Type Occupancy Group ONo. U of Stories Building Height Building Square Footage Stock Plan/Options 0 1 m c,r-,,z Z Right Side Setback Left Side Setback • 6 • Z TO SCHEDULE INSPECTIONS 1-4 Plat File No. ZBA Case Number Zoning District 10 (See reverse side for Inspection Description) J Subdivision/PLID Filing RP RM Ct IN FNB w Lot FNE 10 Block Lot Area 0 Parcel 8604407010 FNP FMM SPI ad Company Name Contractor License No. U G P F R FP Address City/State RE w Mechanical License No. 0 Roofing License No. F ZZ Framing License No. U co Plumbing License No. rn License No. ENT FINISH - LIVING ROOM, BEDROOM AND BATHROOM HOMEOWNER AFFIDAVIT ON FILE 18 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 t d of su permit or from the date of the last inspection. y/L Print name of owner/agent gnature Date .t m