HomeMy WebLinkAbout5027 Northern Lights Dr - Permits - 10/07/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMITPERMIT
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 5 7
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS PERMIT DATE
PERMIT
5027 NORTHERN LIGHTS DR#A IJ 0?'2CC3 Plan Check Fee
$1B.0
0/2/03
TYPE PERMIT LEVEL CATEGORY TYPE
NSECR New Secondary Res Bldg ISSU FUL kcstv BIdQ >650:2500-Res Building Permit u/ Subs
Last Name,
$113.4
10/31103
First, Middle Initial Construction Type Occupancy Group
ie
HAT CUSTOM BUILDERS City Sales/Use Tax
$26B.2
i0/3/03
Z
3
w
Address City/State y r-� p No. of Stories Building Height
ST
O
i2050 rECOSST#100 0 1 16 County Sales,Jse Tax
Zip
$71.5
10/3/03
Phone No. Building Square Footage Stock Plan/Options
80234 303-280-9630 X10
Front Setback Rear Setback
c9
' ! •
6-ALLEY 17.1-BLDG
Z
Z
Right Side Setback Left Side Setback • • •
10.9-BLDG 10.9-BLDG •
•
Plat File No. ZCase Number Zoning District (See reverse side for Inspection Description)
tBA
1- -3 MN
SUbdIVISIOn/PUD Filing ,ci B F RP M
Bf�001�.FIELD
Q
�
J
Lot Block Lot Area Parcel No. C L I N f N B
Tn C 151153 F N E FNP FNM
Name Contractor License No. F B S P T B G P
OCompany
',,HATFAI1l n ISTn p; C PS n 1 0 6
d
Address City/State F Ii II E Eli
Z
1205,01PECOS ST # 10n WFSTMTNSTFR, ro29
Phone Supervisor Cert. No.
0
303 280 9630 X10
Electrical License No.
T Ct n n M
Mechanical License No.
Roofing License No.
F
Z
O
t,I o n nn ��
Framing License No.
C 17
Plumbing License No.
N
Concrete License No.
n n nr o0
NEW 2 BAY GARAGE UNIT STOCK 01521
DOUG BARKUS
LU
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 date of s h permit o�from date of the last inspection.
Bb'dki
r,� epa
name of owner/agent Ign ture Date
Print
TOTAL FEES
$531 2