HomeMy WebLinkAbout5918 Southridge Greens Blvd - Permits - 05/15/2003iaCommunity Planning & Environmental Services
Building & 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 ADDRESS5918 SOUTHRIDGE GREENS BLVD
PERMIT TYPE PERK
BSMNT Basement Finish -Residential
Last Name First Middle Initial
TILMANT, JAMES T
LU
Address City/State
> 5918 SOUTHRIDGE GRNS BLVD FORT COLLINS, CO
Z� Phone No.
OV.7 223-8162
0
_Z Right Side Setback Left Side Setback
Z
2 Plat File No. ZBA Case Number Zoning District
w Lot Block Lot Area O Parcel N. 86072 11014
OCompany Name Contractor License No.
CAddress
License No.
OMechanical
H
URoofing
License No.
H
Z
Framing
License No.
u
50 D
Plumbing
License No.
N
Concrete I License No
BASEMENT FINISH - REC ROOM, BEDROOM, BATHROOM, OFFICE
BUILDING PERMIT
Building Valuation
B03021 7
ACCOUNT
PERMIT DATE
05/ 15/2003 Ian Check Fee
EVEL CATEGORYTY E
ISSU_FUL residential Remodel Wilding Permit w/ Subs
Construction Type Occupancy Group
5N R-3 ity Sales/Use Tax
Wp No. of Stories Building Height
0 ounty Sales/Use Tax
Building Square Footage Stock Plan/Options
(See reverse side for Inspection Description)
RP RM GL
IN FN8 FNE
FNP FNM SPI
UGP FR FP
RE
RECD REQUEST FOR INSPECTION OF COMPLETED WORK
WORK COMPLETED PRIOR TO PERMIT RECD EXISTING STRUCTURE FORM
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.
Print name of owner/agent Sign a Date TOTAL FEES
FEE I DATE PAID I
$15.00 4/28/03
$68.18 5/15/03
$75.00 5/15/03
$20.00 5/15/03
$178.18