HomeMy WebLinkAbout4721 Dusty Sage Loop - Permits - 01/09/2004 (2)Community Planning & Environmental Services
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1Building & Inspections Division
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 4721 DUSTY SAGE LOOP #3
PERMIT TYPE I PE
LU
Z Address
U zip
3
0
Z_ Right Side S
Z
Plat File No.
Q
w Lot— [
H
U
H
Z
O
U
N
Address
tn(
Phone
9ii
Electrical
0
ZBA Case Number
1373-1
Block ILot Area
City/State
1001 A E. HAF
Phone No.
970-266-0208
Rear Setback
22
Left Side Setback
0
Zoning District
Filing
PLAT
Parcel No.
3390 96
Contractor License No.
2,
City/State 1i c 2r nns 11C n
License No.
License No. 7
02
License No.
License No.
n
License No.
MD /n4
License No
R
BUILDING PERMIT
Building Valuation
B0307981 ACCOUNT
PERMIT DATE
01/09/2004 Plan Check Fee
MIT LEVEL CATEGORY TYPE
ISSU F&F Sin le Family Detach Res Building Permit F&F
Construction Type Occupancy Group
City Sales/Use Tax F&F
Wp No. of Stories Building Height
NY R 0 1 24 County Sales/Use Tax F&F
LMN (See reverse side for Inspection Description)
S B F FO SPI
HOP SF �'1 ln
NEW SINGLE FAMILY ATTACHED TOWNHOME WITH 632 SQ FT UNFINISHED BASEMENT AND 1047 SQ FT
FINISHED BASEMENT AREA
LU
STOCK PLAN 1611-B WITH OPTION 1 ENERGY SCORE
JOB CONTACT - MARK RUTT FCLWD
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 ecome and void if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 d;,onture
s from the date of ch per r from h ate of the last inspection.
of own/agent Dat S TOTAL FEES
940
V1. u V
$108.6
$150.0
$40.0
E
DATE PAID
IL/ 18 /UJ
1/9/04
1f /V4
1/9/04