HomeMy WebLinkAbout617 W MYRTLE ST - PERMITS - 6/2/2005Community 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 ADDRESS 617 W MYRTLE ST
PERMIT TYPE PERMIT
BSMNT Basement Finish -Residential
Last Name, First, Middle Initial
1 ERIC
LU
Z Address
City/State
ZIP I Phone No.
(ZZ Right Side Setback
tJ Plat File No.
6 -- WESTLAWN ADDITION
u.l Lot Block Lot Area
J
Name
Phone
Electrical
Left Side Setback
Zoning District
Filing
Parcel No.
0 9714212004
Contractor License No.
City/State
License No.
BUILDING PERMIT
Building Valuation
B050265 ACCOUNT FEE MATE PAID
CATEGORY TYPE
Group
ONo. of Stories Building Height
V
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
RP
1111'1
UL
IN
''t6
FNE
FNP
FNM
SPI
U0F
Fli
FP
li is
w mecnanicai License No.
0
Roofing License No.
Framing License No.
0
V
m Plumbing License No.
to
Concrete License No.
BASEMENT FINISH - BATHROOM AND GEAR STORAGE ROOM (APPROX 250 SQ FT) AND INCREASE
EXISTING WINDOW TO MAKE EGRESS COMPLIANT WITH ATTACHED ENGINEERS DRAWING. AFTER THE
FACT FINISH OF APPROX 200 SQ FT OPEN STORAGE AREA
HOMEOWNER AFFIDAVIT ON FILE - REC'D REQUEST FOR INSPECTION ON COMPLETED WORK
Building Permit a/ Subs $116.7 6/2/05
Man Check Fee $15.0 6/2/05`
City Sales/Use Tax $111.4 6/2/05
County Sales/Use Tax $29.7 6/2/05
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 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date TOTAL FEES