HomeMy WebLinkAbout4918 BLUESTEM ST - PERMITS - 3/10/2000Community Planning &Environmental Services BUILDING P E RM I TPERMIT
Building & Inspections Division
FEES
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P.O. Box 580 281 N. College Ave.
Building valuation $15.280.00
Fort Collins, CO 80522-0580 B0011166
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Phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
Plan Check Fee
BUMV Perrrtw W Pk"
FEE
$1 s.00
$15728
DATE PAID,
3/08/2000
MOM000
JOB
SITE ADDRESS 4918 BLUESTEMCT FTCO
PERMITDATG,3/1w000
U
PERMIT
TYPE BSMNT Basement Finish -Residential
PERMIT LEVEISSUFUL
CATEGORYTYPE RESIDENTIAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
cl,c
RABEN, JOHN H, II
JJ
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Address
4918 BLUESTEM CT
City / State
FORT COLLINS, CO
wp No. of Stories
O
Building Height
Zip 80525 Phone
No.
Building Square Footage
Stock Plan/Options
Front Setback Rear
Setback
Z
Right Side Setback Left Side Setback
• • '
Z
mee
Plat File No. ZBA Case Number Zoning District
Subdivision/PUD Filing
(See reverse side for Inspection Description)
RP RM GL
_
Q
IN FNB FNE
Lot Block Lot Area p Parce
w
FNP FNM SPI
Name Contractor License No.
UGP FR FP
OCompany
RE
Address
City/State
OPhone
Supervisor Cert. No.
V
Electrical License No.
Cc
Mechanical
License No.
Roofing
License No.
�
Z
0
Framing
License No.
m
Plumbing
License No.
v=i
BASEMENT PREVIOUSLY FINISHED TO INCLUDE REC ROOM/FAMILY ROOM, BATHROOM
AND MEDIA ROOM. GAS FIREPLACE PREVIOUSLY INSTALLED BY FIREPLACE WEST. ALL
OTHER WORK WAS DONE BY HOMEOWNER.
NO COOKING UNIT ALLOWED IN BASEMENT
JJ
l
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 not inspected within 180 days from the date of such permit or from the date of the last inspection.
TOTAL FEES
$172.2$
name of owner/agent Sign atu Date
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