HomeMy WebLinkAbout1945 Churchill Ct - Permits/Basement Finish - 03/26/2004Community 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 Q 4 014 8 8
1 363.00
ACCOUNT
FEE
DATE PAID
PERMIT DATE
JOB SITE ADDRESS 1945 CHURCHILLCT
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PERMIT TYPE
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PERMIT LEVEL CATEGORY TYPE
BSMNT Basement Finish -Residential ISSU_FUL Residential Remodel
Last Name, First,
city Sales;�;e Taz
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Middle Initial
JOHNSON.JAMIE Construction Type Occupancy Group
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Z Address City/State W No. of Stories Building Height
1945 CHURCHILL CT O
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FORT COLLINS, CO
Zip Phone No. V Building Square Footage Stock Plan/Options
80526 377-2031
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)
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Subdivision/PUD
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Block
Lot Area
Parcel No.
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Name
Contractor License No.
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Address City/State
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Phone Supervisor Cert. No.
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Electrical
License No.
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Mechanical
License No.
Roofing
License No.
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OFraming
License No.
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Plumbing
License No.
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Concrete
License No.
BASEMENT FINISH (GARDEN LEVEL BASEMENT) FINISH 2 BEDROOMS PERIMETER WALLS ONLY
FINISHED PRIOR TO PERMIT BY PREVIOUS OWNER
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HOMEOWNER AFFIDAVIT & TEST ON FILE - RECD REQUEST FOR INSPECTION ON COMPLETED WORK
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 the date of such permit or from the date of the last inspection.
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Print name of owner/agent Sign re Date TOTAL
FEES
$57 6