HomeMy WebLinkAbout4351 GEMSTONE LN - PERMITS - 8/9/2001Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
CityofF� phone (970) 221-6760 Fax (970) 224-6134
BUILDING PERMITI!EW
dmg Valuapon
011
JOB SITE ADDRESS 4351 GEMSTONELN PERMIT DATE 08/09/200l
PERMIT TYPE BSMNT Basement Finish -Residential PERMIT LEVEL ISSU_FUL CATEGORYTYPE RESIDENTIAL
Last Name, First, Middle Initial Construction Type Occupancy Group
MILLER, PATRICK _
Z Address City / State p No. of Stones Building Height
3 4351 GEMSTONE LN FORT COLLINS. CO O
O Zip 80525 Phone No. 303-641-3526 Building Square Footage Stock Plan/Options
Right Side Setback
Left Side Setback
Z
Z
• •
2
(See reverse side for Inspection Descriptio
Plat File No.
ZBA Case Number
Zoning District
RP NM GL
Subdivision/PUD
Filing
a
IN FNB FNE
w
F N P F N M S P 1
Lot
Block
Lot Area
Parcel No. 8732341019
G G P F N F P
RE
OCompany
Name
Contractor License No.
GLANZ ELECTRICAL CDNT
ME-246
Cie
Mechanical
License No. ,
V
Roofing
License No.
H
Z
01
Framing
License No.
m
v=i
Plumbing
License No.
ADVANCED PLUMBING 8 HTG
MP-245
BASEMENT FINISH - FAMILY ROOM, BATHROOM
57< HOMEOWNER AFFIDAVIT
HOMEOWNER TO ACT AS GENERAL CONTRACTOR AND DO NON-STRUCTURAL
\FR/AMING/SHEETROCK/TRIM WORK ETC
V
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 infor on. This permit shall become null and void if the work authorized by such permit is not
commenced, suspended, abandoned or not inspected within 0 d ys f o f such permit or from the date of the last inspection.
Print name of owner/agent Rnature Date
ACCOUNT
Building Permit w/ Subs
City Sales/Use Tax
County Sales/Use Tax
TOTAL FEES
$3X0.00
FEE I DATE PAID I
$51,9 8/9/0
$45,0 8/9/0
$12,,0 8/9/0
$1081