HomeMy WebLinkAbout613 FLAGLER RD - PERMITS - 6/27/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
FortCollins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS613 FLAGLER RD
'ERMITTYPE PER
BSMNT Basement Finish -Residential
Last Name, First, Middle Initial
W MACHALA, JOSEPH & CAROLE W
w Address
Z City/State
3 613 FLAGLER RD FORT COLLINS, CC
0 Zip Phone No.
M25 207-1044
(i
_Z
Right Side Setback
Left Side Setback
Z
2
Plat File No.
ZBA Case Number
Zoning District
J
Subdivision/PUD
Filing
Q
wLot
Block Lot Area
Parcel No.
J I I 1 0 1 9614
Company NameI Contractor License No.
City/State
Phone
BUILDING PERMIT
Building Valuation
B0303869 ACCOUNT
PERMIT DATE
06/27/2003 Ian Check Fee
.EVEL CATEGORY TYPE
ISSU_FUL I Residential Remodel Wilding Permit tf/ Subs
Construction Type Occupancy Group
ity Sales/Use Tax
Wp No. of Stories Building Height
0 ounty Sales/Use Tax
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
RP RM GL
IN FNB FNE
FNP FNM SPI
UGP FR FP
RE
cieciricai
License No.
De
Mechanical
License No.
0
Roofing
License No.
H
Z
Framing
License No.
0
U
Plumbing
License No.
N
Concrete
License No. if
HOMEOWNER TO FINISH BASEMENT TO INCLUDE BEDROOM, REC ROOM, WORKSHOP AND 314
BATHROOM.
LU 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
commenced, suspended, abandoned or inspected within 180 On from the dat v
uch p it or from the date of the last inspection.
J b SCPH W t A C_Mr A
Print name of owner/agent Si atur n .
FEE I DATE PAID I
$15.00 6/25/03
$76.28 6/27/03
$83.33 6/27/03
$22.22 6/27/03
TOTAL FEES 1 $196.83