HomeMy WebLinkAbout5209 Black Bark Ct - Permits/Basement Finish - 10/14/2003Community Planning & Environmental Services
Building & Inspections Division
- P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort CollinIN s phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 5209 BLACK BARK CT
PERMIT TYPE
BSMNT Basement Finish -Residential
Last Name, First, Middle Initial
BUILDING PERMIT
Building Valuation
B0306620 ACCOUNT
PERMIT DATE
10/ I / 2003 Plan Check Fee
LEVEL CATEGORY TYPE
ISSU_FUL Residential Remodel Building Permit w/ Subs
Construction Type Occupancy Group
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Address
City/State
�p No. of Stories
Building Height
3
5209 BLACK BARK CT
FORT COLLINS, CO
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Zip
Phone No.
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Building Square Footage Stock Plan/Options
80528
266-9185
Front Setback
Rear Setback
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Right Side Setback
Left Side Setback
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Plat File No.
ZBA Case Number
Zoning District
(See reverse side for Inspection Description)
1 P R M u
Subdivision/PLID
Filing
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Lot
Block
Lot Area
Parcel No.
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8606475061
FNP FNM SPI
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OCompany
Name
Contractor License No.
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Address
Citv/State
Phone
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mecnanicai
License No.
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Roofing
License No.
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Framing
License No.
0
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Plumbing
License No.
N
ORADO n SERVICE
Concrete
License No.
BASEMENT FINISH TO INCLUDE FAMILY ROOM, BEDROOM, 314 BATH AND STORAGE AREA.
HARRY POEHLMANN Review by KM
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City Sales/Use Tax
County Sales/Use Tax
As a condition for the issuance of a permit, I hereby declare that I am an own or owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, State laws a o d ith such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete i m ' . This er its b ome null and void if the work authorized by such permit is not
ommenced, suspended, abandoned or inspected within 18 s th d e su pe it or from the date of the last inspection.
Print name of owner/agent signature Date TOTAL FEES
FEE I DATE PAID
$15.0 10/7/03
$189.6 10/14/03
$300.00 10/14/03
$80.00 10/14/03