HomeMy WebLinkAbout3832 Little Dipper Dr - Permits/Basement Finish - 09/29/2005Community Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Building valuation
Fort Collins, CO 80522-0580
City of Fort Collins
$1 fifi3.00
phone (970) 221-6760 Fax (970) 224-6134 B0505689
ACCOUNT
FEE
SAT PAID
JOB
SITE ADDRESS M32 LITTLE DIPPER DR
PERMIT DATE n r
09/29/�00�
Building Permit tir/ Sub
City sales/Use in
County Sales/Use Tax
537.8
043
$6.6
9i29/05
1/21/ 45
9/29/05
PERMIT
TYPE
BSMNT Basement Finish -Residential
PERMIT LEVEL
ISSU_FUL
CATEGORY TYP
I Residential Remodel
Last Name First, Middle Initial
YOr~OM,JOHNA
Address City/State
3832 LITTLE DIPPER DR FORT COLLINS, CO
e
Construction Type
Occupancy Group
j
�p No. of Stories
O
Building Height
ZipBuilding
��$ Phone
No. 377-' 9�
V
Squa"iini
Front Setback Rear
Setback
Right Side Setback Left
Side SetbackZ
2
Plat File No. ZBA Case Number Zoning District 290
Subdivision/PUD Filing
(See reverse side for Inspection Description)
R P R III U L
J
wLot
Block Lot Area Parcel No. B60440T290
290 0 v
Name Contractor License No.
IN FN8 FNE
FNP FNM SPI
U U P F R FP
OCompany
RE
Address
City/State
H
OPhone
Supervisor Cert. No.
V
Electrical License No.
OMechanical
License No.
Roofing
F-
Framing
License No.
License No.
OZ
V
Plumbing
License No.
N
Concrete
License No.
PARTIAL BASEMENT FINISH - BATHROOM ONLY
HOMEOWNER AFFIDAVIT ON FILE
J
Asa
i4ndition 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 frcj7ate such rmit or from the date of the last inspection.
A. 04a V--
name of owner/agent Sign re Date
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TOTAL FEES