HomeMy WebLinkAbout6921 Sedgwick Dr - Permits/Basement Finish - 02/20/2003Community Planning &Environmental Services
Building & Inspections Division BUILDING PERMIT'
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 60300707
Q 0' 00
ACCOUNT
FEE
DATE PAID
PERMIT DATE
JOB SITE ADDRESS
ss21 SEDGWICK DR 02/20/2003
PERMIT TYPE
Plan Check Fee
$15.00
2/12/03
PERMIT LEVELtCATEGORY TY
BSMNT Basement Finish -Residential ISSresidential Remodel
Building Permit ►i/ Subs
$200.58
2/20/03
Last Name, Fi st, Middle Initial
Z
dress LL, KENTS/KATHYM
Addr�
Type
SN
Occupancy Group
R-3
City Sales/Use Tax
$124.50
2/20/03
County Sales/Use Tax
$33.20
2/20/03
SEDGWlCK DR City/State
FORT COLLINS, CO
Zip
p
o0
Vre
Building Height
0
Phone No.
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Footage Stock Plan/Options
Front S�etb�ack Rear Setback
O
• •
Z
Z
Right Side Setback Left Side Setback
rV
Plat File No.
•
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
RP RM GL
J
Q
Subdivision/PUD
Filing
W
IN FNB FNE
F N P F N M S P I
U G P FIR FP
Lot
Block
Lot Area 0
Parcel No. 9614210045
OCompany
Name
Contractor License No.
RE
Address City/State
H
ZZ
Phone Supervisor Cert. No.
10
V
Electrical
License No.
13eO
H
Mechanical
License No.
URoofing
License No.
H
Z
Framing
License No.
V
cc D
Plumbing
License No.
to
Concrete
License No.
HOMEOWNER STARTED BASEMENT FINISH PRIOR TO PERMIT - TO INCLUDE FAMILY ROOM, BEDROOM &
STORAGE
AFFIDAVIT ON FILE
GAS FIREPLACE ON PERMIT # 130300708
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
s ed ith suc w rk. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This er eco In and void if the work authorized by such permit is not
commeyriceduspended,_ abandoned qr i spected within 180 days from th s h per from the date of the last inspection
Print name of owner/agent Signature Date
TOTAL FEES
$373.28