HomeMy WebLinkAbout5302 Southern Cross Ln - Permits/Basement Finish - 08/25/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
cttvotFortcoi>ins phone (970) 221-6760 Fax (970) 224-6134 B0504812
13 662.00
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 5302 SOUTHERN CROSS LN
PERMIT DATE
C) 3;' 2 ,` 'DOr:
Building Permit w/ Subs
Plan Check Fee
$141, 0
$1510
8/25105
8/25/05
PERMITTYPE
BSMNT Basement Finish -Residential
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential Remodel
Last Name, First, Middle Initial
Construction Type
Occupancy Group
STEPHENSON, ANNE M/SCOTT E
I
City Sales/Use Tax
$204.9
8125/05
Z
Address
City/State
LU
C) No. of Stories
Building Height
5302 SOUTHERN CROSS LN
I FORT COLLINS. CO
o
County Sales/0se Tax
$64.6
$%?5/05
O
Zip Phone
80528
No.
226-5588
ilding Squ
Buare Footage Stock Plan/Options
Front Setback Rear
Setback
,
• • • •
Z
Right Side Setback Left Side Setback
IV
Plat File No. ZBA Case Number Zoning District 254
(See reverse side for Inspection Description)
� P n M GL
J
Subdivision/PUD
Filing
Lu
1, F4B FILL
Lot
Block
Lot Area
Parcel No.
254
0
8504407254
F►IP F8N SP1
u G In P F r, F P
O
Company Name Contractor
License No.
i E
Address City/State
F—
OPhone
Supervisor Cert. No.
U
-
Electrical
License No.
a'
O
Mechanical
License No.
G
Roofing License No.
H
OFraming License No.
U
m Plumbing License No.
Concrete License No.
HOMEOWNER TO FINISH 460 SQ FT OF BASEMENT TO INCLUDE HOBBY ROOM, FAMILY ROOM AND
BATHROOM.
No cooking appliance/device
AFFIDAVIT ON FILE permitted in basement per
L.U.C. 5.1 I Dv,,elling Unit
delinition
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 Signature Date TOTAL FEES $415.