HomeMy WebLinkAbout4248 Table Mountain Pl - Permits - 06/21/2004Community Planning &Environmental Services
6"'�N
Building & Inspections Division BUILDING PERMIT'PERMIT
P.O. Box 580 281 N. College Ave.
gilding Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 4 Q 3 8 6 2
$1 1,286Q0
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4248 TABLE MOUNTAIN PL
PERMIT DATE 06/2 1/2 004
Plan Check fee
Building Permit ia/ Subs
$15.0
$124.8
6/15/04
1 6/21/04
PERMIT
TYPE
BSMNT Basement Finish -Residential
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPResidential Remodel
Last Name First, Middle Initial 66MICHAEL T
pAN,
Construction Type
Occupancy Group
LU
Addr4248 TABLE MOUNTAIN PL City/State FORT COLLINS, CO
O Lu
No. of Stories
Building Height
Zip 8526-WW Phone No.
266'8427
U
Building Square Footage Stock Plan/Options
O
Front Setback Rear Setback
0
! i
Z
Z
Right Side Setback Left Side Setback
• •
Plat File No.
ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
RP RN CL
Q
wLot
I N F N B F N E
FNP FNM SPI
UCP F R FP
Block Lot Area O Parcel No
9735325009
Company Name Contractor License No.
Q
RE
Address City/State
ZZ
Phone Supervisor Cert. No.
lI
Electrical License No.
OMechanical
License No.
H
Roofing
License No.
F—
License No.
OFraming
V
License No.
�Plumbing
rn
Concrete
License No.
BASEMENT FINISH ALREADY COMPLETED BY PER B0017110 BY PREVIOUS HOMEOWNER. NEW WORK TO
INCLUDE BEDROOM, HOBBY ROOM AND FAMILY ROOM.
EXISTING CONSTRUCTION AFFIDAVIT ON FILE
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. Thlspw mit shall b ome null and void if the work authorized by such permit is not
commenced,
suspended, abandoned or inspected within 180 days from date of su er it or of the last inspection.
�romthedate
f owner/agent g ature Date
I'r"name
TOTAL FEES
$139.