HomeMy WebLinkAbout4425 Hollyhock St - Permits/Basement Finish - 09/18/2003Community Planning & Environmental Services
` Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 4425 HOLLYHOCK ST
PERMITTYPE PER
BSMNT Basement Finish -Residential
Last Name, First, Middle Initial
FRITTS, JORDAN
Z Address City/State
3 4425 HOLLYHOCK ST FORT COLLINS. C
O Zip Phone No.
80526-3515 266-0254
0
Z Right Side
Z
0 Plat File No.
_ Subdivision/
Q
w Lot
J
Address
Phone
Rear
Left
Case Number I Zoning District
Lot Area Parcel No.
0 9735306016
Contractor License No.
ce
mechanical
License No.
Roofing
License No.
H
Framing
O
License No.
V
jPlumbing
License No.
u7
Concrete
License No.
BASEMENT FINISH - BEDROOM. BATHROOM, FAMILY ROOM
HOMEOWNER AFFIDAVIT ON FILE
w
BUILDING PERMIT '
Building Valuation
B03Q6005 PERMIT DATE ACCOUNT
09/ 18/2003 Building Permit W/ Subs
EVEL CATEGORY TYPE
ISSU_FUL Residential -Remodel City Sales/Use Tax
Construction Type Occupancy Group
W SN County Sales/Use Tax
in No. of Stories Building Height
0
Building Square Footaqe I Stock Plan/Ontions
(See reverse side for Inspection Description)
(<P It
�i.
III FIdB FhE
FNP FtiM SPI
� Gi' Flti FP
nE
FEE DATE PAIL
$51.9 9/18/02
$45.0( 9/18/03
$12,09/18/03
As a cond4h7nagr'ee,
e ssuance 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 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 was ased on incorrect or incomplete information. This permit shall become null a void if t ork authorized by such permit is not commenced, suspended, abandoned or inspected within 180 days from the date of h it a the last inspection.
r
1)0'_0 �l PC �j
Print name of owner/agent Sign re Date 6 TOTAL FEES�t
�i.
III FIdB FhE
FNP FtiM SPI
� Gi' Flti FP
nE
FEE DATE PAIL
$51.9 9/18/02
$45.0( 9/18/03
$12,09/18/03
As a cond4h7nagr'ee,
e ssuance 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 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 was ased on incorrect or incomplete information. This permit shall become null a void if t ork authorized by such permit is not commenced, suspended, abandoned or inspected within 180 days from the date of h it a the last inspection.
r
1)0'_0 �l PC �j
Print name of owner/agent Sign re Date 6 TOTAL FEES�t