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HomeMy WebLinkAbout4625 REGENCY DR - PERMITS - 8/8/2003Community 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 ADDRESS4625 REGENCY DR 'ERMITTYPE MIN-ALT Minor Residential Alteration PER. Last Name, First, Middle Initial KNUTSON LORING R/NANCY E Z Address City/State 3 4625 REGENCY DR FORT COLLINS, CO O Zip 80526-3805 Phone No.226-5164 Front Setback Rear Setback _Z Right Side Setback Left Side Setback Z Plat File No. ZBA Case Number Zoning District Subdivision/PUD Q Filing WLot Block Lot Area Parcel No. 0 96031 cleO Company Name Contractor License No. Address City/State I_ Z Phone BUILDING PERMIT ' Building Valuation B000 ACCOUNT PERMIT DATE OU 08/2003 Van Check Fee .EVEL CATEGORY TYPE ISSU_FUL Residential Remodel luilding Permit k/ Subs Construction Type Occupancy Group W -5N ity Sales/Use Tax p No. of Stories Building Height Building Square Footage Stock Plan/ODtions ounty Sales/Use Tax (See reverse side for Inspection Description) �P P,M cL TN FN8 FN FNP FNM SPT UCp F% FP Pi E FEE I DATE PAID $15.00 1/30/03 $120.16 8/8/03 $56.10 8/8/03 $15.12 8/8/03 —" ....--. License No. O Mechanical License No. Roofing License No. H O Framing License No. U DPlumbing License No. N Concrete License No. LOFT AREA WAS ROUGHED -IN DURING ORIGINAL CONSTRUCTION. HOMEOWNER SHEETROCKED, PAINTED AND CARPETED PRIOR TO PERMIT. AFFIDAVIT ON FILE As a ondition 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 nced, suspended, abandoned or inspected within t30 days m the date of such per ' or from the date of the last inspection. Print name of owt er/agent ignature Date TOTAL FEES