HomeMy WebLinkAbout605 W LAKE ST - PERMITS - 8/4/2003Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityof Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE
BUILDING PERMIT
Building Valuation
B0303962 ACCOUNT
PERMIT DATE
Last Name, First, Middle Initial
Construction Type
Occupancy Group
Z
Address
City/State
Wp No. of Stories
Building Height
0 2
U
18
O
Zip
Phone No.
Building Square Footage Stock Plan/Options
80525
416-7270
Front Setback
Rear Setback
.
�
0
17
Z_
Right Side Setback Left Side Setback
Z
6.5
2
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description]
HMN
S B F R P f M
Subdivision/PUD
Filing
J
Q
CL I FNB
Lot
Block
Lot Area
Parcel No.
7065
9714210002
FNE FNP FNM
F u S P I U C P
OCompany
Name
Contractor License No.
F R FP R E
Address
City/State
H
Z
Phone I Supervisor Cart. No.
w mecnanic
10
U Roofing
H
Z Framing
O
U
m Plumbing
N
Concrete
License No.
License No.
License No.
License No.
License No.
HOMEOWNER TO DO ADDITION TO INCLUDE 600 SQ FT FOR MAIN LEVEL AND 240 FOR ATTIC ADDITION &
594 SQ FT BASEMENT ADDITION WITH EXTERIOR STAIR ACCESS.
,81 AFFIDAVIT ON FILE
Review by KM
As a condition for the issuance of a permit, I hereby declare that I am
described herein. I agree to comply with all City ordinances, tatt
event that issuance was based on incorrect or incomplete form
commenced, suspended, abandoned or inspected within 80 day
or the owner's agent, authorized to perform the proposed work on the property
>ciated with such work. I understand that such permit may be revoked in the
lit shall become null and void if the work authorized by such permit is not
of such permit or from the date of the last inspection. /
!an Check Fee
ai1ding Permit wl Subs
ity Sales/Use Tax
ounty Sales; Use Tax
torlauater: Spring Creek
FEE
$207.35
$430.65
$925.50
$246.80
$28.46
DATE PAID I
6/27/03
B/4/03
8/4/03
8/4/03
8/4/03
l 'a "-�
name of owner/agent
TOTAL FEES