HomeMy WebLinkAbout836 HINSDALE DR - PERMITS - 1/31/2006Community Planning& Environmental Services BUILDING PERMITPERMIT
FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
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Building Valuation
Fort Collins, CO 80522-0580
$3 500.00
City of Fort Collins B0600453
Phone (970) 221-6760 Fax (970) 224-6134
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ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS 836 HINSDALEDR
PERMIT DATE 01/31/2006
Building Permit u/ Subs
I. Plan Check Fee..
City Sales/Use Tax
$60.
$15..
$52.
8 1/31/0
O 1/31./0.1
0 1/31/0
PERMITTYPE
MIN-ALT Minor Residential Alteration
PERMIT LEVEL ISSU_FUL
CATEGORVTVPEResideMlal Remode
Last Na I Si,sJbfiMNnitial
LUJ CVJrr77I1VV
Construction Type
Occupancy Group
County Sales/Use Tax
$td.
1
0 1/31/0
Addre93
� �6HINSDALEDR
City/State
FORTCOLLINS,CO
p No. of Stories
p
Building Height
SSS
O
Zip 80526-3914
Phone No. 204-1495
V Building Square Footage 0 Stock Plan/Options
Front Setback
Rear Setback-_�.�...
Z
Right Side Setback Left Side Setback
Z
2
• ' •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
SubdivisioNPUD Filing
a
IN FNB FNE
J
FNP FNN SPI
Lot Block Lot Area c Parcel No. 9602205006
Name Contractor License No.
N C P F R F P
------- -
- --- w --- -
- - --
OCompany
Address City/State
RE
Z
Phone Supervisor Can. No.
V
Electrical License No.
�
Mechanical
License No.
G
Rooting
License No.
.
ZO
Framing
License No.
m
-
Plumbing
License No.
Concrete
License No.
HOMEOWNER TO CONVERT 3R GE TO ARTIST STUDIO.
OWNER AFFIDAVIT ON FILE
H
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.
_ ,.._
TOTAL FEES
$141,
8
Print name of owner/agent Signatur Date