HomeMy WebLinkAbout502 Jansen Dr - Permits/Basement Finish - 02/28/2003Community Planning & Environmental Services
Building & Inspections Division
J�A
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 502 JANSEN DR
PERMIT TYPE PERMIT
BSMNT Basement Finish -Residential
Last Name, First, Middle Initial
KAMMERER, DONALD
Z Address City/State
3 502 JANSEN DR FORT COLLINS, CO
Zip Phone No.
80525 282-1818
BUILDING
LEVEL
PERMIT
Building Valuation
60300921
ACCOUNT
PERMIT DATE
02/28/2003
Building Permit w/ Subs
City Sales/Use Tax
County Sales/Use Tax
ISSU_FUL
CATEGORY TYPE
Residential Remodel
Construction Type
5N
Occupancy Group
R-3
p No. of Stories 0
Building Height 0
OBuilding
Square Footage Stock Plan/Options
Front Setback
Rear Setback
Z
Z
Right Side Setback
Left Side Setback
• •
2
(See reverse side for Inspection Description)
Plat File No.
ZBA Case Number
Zoning District
RP R M 6 L
Subdivision/PUD
Filing
a
IN FN8 FNE
w
J
F N P F N M S P I
Lot
Block
Lot Area 0
Parcel No.
U G P FIR FP
Company Name
Contractor License No.
O
RE
Address
City/State
V
Phone
Electrical
License No.
add
Mechanical
License No.
O
Roofing
License No.
H
Z
Framing
License No.
U
m
Plumbing
License No.
V)
N
Concrete
License No.
BASEMENT FINISH - OFFICE, BEDROOM, BATHROOM
HOMEOWNER AFFIDAVIT ON FILE
2.525.00
I FEE I DATE PAID I
$51.98
2/28/03
$37.88
2/28/03
$10.10
2/28/03
As a conditfoh 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 hefirein. 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 m the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date TOTAL FEES $99.96