HomeMy WebLinkAbout638 KIM DR - PERMITS - 11/17/2003Community Planning & Environmental Services
12 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 638 KIM DR
PERMIT TYPE PE'
BSMNT Basement Finish -Residential
Last Name, First, Middle Initial
FORMBY, VANESSA
Z Address
City/State
3 638 KIM DR FT COLLINS, CO
O Zip Phone No.
80525 206-0236
Front Setback ao�Rclhnr4
BUILDING PERMIT
Building Valuation
B0307349 ACCOUNT
PERMIT DATE
1 /2(-)'0,,) Pin Ctieck Fee
LEVEL CATEGORY TYPE
ISSU_FUL Residential Remodel BaiI'd !Mg ?emit w/ Subs
Construction Type Occupancy Group
ulty 5aie5/JSe Tax
p No. of Stories Building Height
i o <auntq Sa I es; Sse `a�
Building Square Footage Stock Plan/Options
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Right Side Setback Left Side Setback
Z
2
Plat File No.
ZBA Case Number Zoning District
J
Subdivision/PUD
Filing
a
wLot
Block Lot Area
Parcel No.
J
O
OCompany
Name
Contractor License No.
Address
City/State
ZZ
Phone
Supervisor Cert. No.
V
Electrical
License No.
M
Mechanical
License No.
O
F—
JRoofing
License No.
H
Z
Framing
License No.
V
Plumbing
License No.
N
Concrete
License No.
(See reverse side for Inspection Description)
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HOMEOWNER TO DO BASEMENT FINISH TO INCLUDE LIVING ROOM, BEDROOM, CLOSET AND 3/4 BATH.
�-, I HOMEOWNER AFFIDAVIT ON FILE. Review by KM
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
com enced, suspended, abandoned or inspected within 180 days from the date of such p mit or from the date of the last inspection.
—rDrm iJ %% TOTAL FEES
Print name of owner/agent Signature Date
FEE
DATE PAID
$6G.o
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$5i.�
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$1