HomeMy WebLinkAbout325 Derry Dr - Permits/Basement Finish - 06/02/2003Community Planning &Environmental Services BUILDING PERMIT
PERMIT
i A Building & Inspections Division
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 0 3 0 2 9 9
.00
ACCOUNT
FEE
DATE PAI1
JOB SITE ADDRESS325 DERRY DR
PERMIT DATE
06 02 2003
wilding Permit a/ Subs
ity'Sales/Use Tax
$23.63
$14.54
6/2/03
6/2/03
PERMIT TYPE
BSMNT Basement Finish -Residential
PERMIT LEVEL
ISSU FUL
CATEGORY TYPE
Residential Remodel
Last Name, First, Middle Initial
Construction Type
Occupancy Group
ad
BOSLEY, ICA
O
ounty Sales/Use Tax
$3.88
6/2/03
Z
Z
3325
Address
DERRY DR
City/State /State
Y
FORT COLLINS CO
No. of Stories
Building Height
Q
VBuilding
ZIP
80525
Phone No.
225-9340
Square Footage I Stock Plan/Options
n
0
�1114%11ffj I I..
Z_
Right Side Setback Left Side Setback
• • •
Z
N
1Lej
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
RP R M G L
J
Subdivision/PUD
Filing
IN F N B F N E
Lot
Block
Lot Area
Parcel No.
W
0
9612210133
FNP FNM SPI
FIR FP
09:O
Company Name
Contractor License No.UGP
0
Address
City/State
RE
Z
O
Phone
Supervisor Cert. No.
V
Electrical
License No.
ce
Mechanical
License No.
Q
F—
Roofing
License No.
Z
Framing
License No.
V
�Plumbing
License No.
Concrete
License No.
BASEMENT FINISH TO INCLUDE FAMILY ROOM
HOMEOWNER AFFIDAVIT ON FILE
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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 fro a date of such p�'rm the date of the last inspection.
V en i(iI qje b h
Print name of owner/aoent . anariirP n.-*
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