HomeMy WebLinkAbout4238 GEMSTONE LN - PERMITS - 1/28/200071
Community Planning & Environmental Services BUILDING PERMIT
Division
Building & Inspections
P.O. Box 580 281 N. College Ave.
Building Valuation $11.900.00
Fort Collins, CO 80522-0580 B0010342
acvof6� �L Phone (970) 221-6760 Fax (970) 224-6134 1 J
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 4238 GEMSTONE tN FTCO
PERMIT "Tb'12812D00
Plain Check Fee
PermRVWSubs
$•I• sPJse T
$15.00
$124.88
$778.50
lrts/z000
T/282000
1/28C2000
PERMIT
TYPE
BSMNT Basement Finish-ResidentialISSU
PERMIT LEVEL
fUL
CATEGORY TYPE
taESIDENitAL
Last Name, First, Middle Initial
MILES, GARY RIIJEANENE A
Construction Type
occupancy Group
ac
Z
Sakalll3• Tmc
$47.60
t/2s/2a�
Address 4239 GEMSTONE LN
C'ry / Si9RT COLLINS, CO
0 No. of Stories
Building Height
U
U
Zip BD525 Phone
No.
Building Square Footage O
Stock Plan/Options
Front Setback Rear
Setback
U
Z
Right Slate Setback Len Side Setback
Z
• � •
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
)See reverse side for Inspection Description)
RP RM IN
_
`
FNB FNE FNP
I
Lot Block Lot Area Parc
Company Name Contra o L' rise No.
KULENSKI, AL BLDG 8 RMDLG
°
FNM FR- RE
1
G
Add ess 1073 MASSACHUS07S ST "
M I LLINS, CO 80525
F
0O
Phone 870-377-3124 Supervisor Cert. No. 127SC2
U
E`11W1ER ELECTRIC License NmE-590
1
K
G
MOftERN COLORADO AIR
License NOH-837
Roofing
License No.
Z
0
Framing
License No.
PWMR PLUMBING 8 HEATING
License No. MP-=
D'
395 SO FT OF BASEMENT FINISH TO INCLUDE 3/4 BATH.
57<
1
1
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 it the work authorized by such permit is not
commenced,
suspended, abandoned or not inspted within 180 days from the date of such permit or from the date of the last inspection.
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TOTAL FEES
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Pf
nanTe of oTw
t nedagent Signature T pate