HomeMy WebLinkAbout4625 REGENCY DR - PERMITS - 8/8/2003 (2)Community Planning &Environmental Services BUILDING PERMITPERMIT
Building & Inspections Division
FEES
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134 B 0 3 0 1 9 2 9
ACCOUNT
FEE
DATE PAID
JOB
SITE ADDRESS4625 REGENCY DR
PERMIT DATE
08 08200
Ian Check Fee
uilding Persit w/ Subs
iby Sales/Ilse Tax
$15.00
$60.08
W.00
7/30/03
8/8/03
8/8/03
PERMIT
TYPE
BSMNT Basement Finish -Residential
PERMIT LEVEL
ISSU_FUL
CATEGORY TYPE
Residential Remodel
W
Last Name, First, Middle Initial
KNUTSON LORINGR/NANCYE
Construction Type
�N
Occupancy Group
Z
3
oality Sales/Use Tax
$15. 20
8/8/03
Address City/State
4625 REGENCY DR FORT COLLINS, CO
W
p No. of Stories
o
Building Height
Zip Phone No.
80526-3805 226-5164
Building Square Footage Stock Plan/Options
Front Setback Rear
Setback
II
c�
Z_
Z
• • •
ffireverse
Right Side Setback Left
Side Setback
Plat File No. ZBA Case Number
Subdivision/PUD
Zoning District
Filing
(See side For Inspection Description)
R P n M
J
(D
i d F h b F N F
Lot Block Lot Area Parcel No.
J
0 9603105049
Company Name Contractor License No.
FNP FNM SPI
u P F {� i P
O
n
F
Address
City/State
H
ZZ
Phone Supervisor Cert. No.
V
Electrical License No.
(je
Mechanical
License No.
H
Roofing
License No.
License No.
OFraming
V
co
Plumbing
License No.
Concrete
License No.
BASEMENT FINISH FOR REC ROOM ONLY
HOMEOWNER AFFIDAVIT ON FILE
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
co
suspended, or inspected with' ' 180 days om the date of such permit or from the date of the last inspection.
/e�ncred,/(abandoned
name of ow er/agent Signature Date
Print
TOTAL FEES
$147.28