HomeMy WebLinkAbout3500 Plumstone Pl - Permits/Basement Finish - 06/16/2006Community Planning &Environmental Services BUILDING
& U I L D I N G PERMITPERMIT
Building Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City Fort Collins
$1 51 20
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phone (970) 221-6760 Fax (970) 224-6134 B 0 6 0 2 8 91 .
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 3500 PLUMSTONEPL
PERMIT DATE 06/16/2006
Building Pemit w/ Subs
- ---�
l Plan Check Fee ,.
C i t Sales Use Tax
Y
$165.
$15.
$ 24 } ,
8 6/16/0
'-
0 6%16/0
0 6 / 16 0
PERMIT
TYPE
BSMNT Basement Finish -Residential
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential Remod
Last Name, First, Middle Initial
ROMINE, ROBERT D/CHERYL L
Construction Type
Occupancy Group
Address
3500 PLUMSTONE PL
City/State
FORT COLLINS, CO
p No. of Stories
0
Building Height
Z
3
County Sales/Use lax
$66
5 6/t6/0
_
Phone
Zip _ 80525
No.
225-2222
U Building Square Footage Stock Plan/Options
0
Front Setback Rear
Setback
Z_
..-
Right Side Setback Left Side Setback
Z
'
Plat File No. ZBA Case Number, Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
RP R M C L
J
a
IN FNB FNE
Lot Block Lot Area Parcel No. 8/29416021
Company Name Contractor License No.
w
F N P F N M S P I
U C P F R FP
W
ROMINE ROBERT O CHERYL L
R E
..
Address City/State
FORT COLLINS CO
80525
Z
Phone Supervisor Cert. No.
225 2222
Electrical License No.
SKYLINE ELECTRIC ME 46
Mechanical
License No.
o
CIRSON HEATINGS A INC
H 815
Roofing
License No.
H_
ZZ
.. . .�_ .. , c_ v. ,._..
_:_ ._.., _ C. _.. . _
•.:.
Framing -
License No.
U
m
Plumbing
License No.
N
'
Concrete
License No.
FINISH PARTIAL BASEMENT 556 SO, FAMILY ROOM & OFFICE
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
commenced,
suspended, abandoned or inspected within 180 days fr date of such permit or from the date of the last inspection.
name of owner/agent Signature Date
TOTAL FEES
$494.
3
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