HomeMy WebLinkAbout4615 DUSTY SAGE DR - PERMITS - 8/25/2005 (4)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 5 0 1 5 8
ACCOUNT
FEE
DATE PAID
JOB SITE ADDRESS 4 15 DUSTY�AG DR#1
PERMIT DATE
OS/25/2005
Pan Chzsc Fez
Building Perlrit F&F
0ity Sales/Use Tax F8F
0ount} Sales/Use Tax F&F
a220.0
$108.6
$150.0
$40.0
4/11/05
8/25/05
8/25/05
8/25105
PERMIT TYPE
NSFRA New SF Res Attached
PERMIT LEVEL
ISSU F&F
CATEGORY TYPE
I Res-- 3-6 Unit Blda
ZLU
3At
0
Last Name, First, Middle Initial
t
in
0
Construction Type
Occupancy Group
Address
ITT MA9K
City/State
1 1 QQ1 A F HARMONY A
No. of Stories
1
Building Height
24
Zip
I Phone No.
Building Square Footage
I Stock
Plan/Options
0
_Z Right Side Setback
Z
0 Plat File No,
Subdivision/PLID
J
Q
w Lot
J
Address
tnr
Phone
1
Electrical
W N
0
R
H
Z F
0
ca
m p
V)
N
0
ZBA Case Number
Block
C
Rear Setback y
Left Side Setback
5
Zoning District
Filing
'PLAT
Parcel No.
4238
Contractor License No.
w ��t
City/State
r0nT r,n,l T c nn
License No.
I
License No.
License No.
n 29,
License No.
C ,
License No.
(See reverse side for Inspection Description)
J8F Fnu SP:
UUP JRi1' WT n,
NEW SINGLE FAMILY ATTACHED TOWNHOME WITH 632 SQ FT UNFINISHED BASEMENT AND 1115 SO FT
FINISHED BASEMENT AREA
LU STOCK PLAN 1611 WITH OPTION A air sealing FCLWD
JOB CONTACT - MARK BUTT RADON MITIGATION INSTALLED
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agenf, uthorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated wi such k. I un rstand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall4ecorn ull and if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 180 days from the date c e It a date of the last inspection.
Print name of owner/agent SignatuDate re
TOTAL FEES 1 $518.