HomeMy WebLinkAbout1142 Cobblestone Ct - Permits/Gas - Log, Line, Pipe - 10/20/2000Community Planning & Environmental Services BUILDING PERMITPERMIT
FEES
Building &Inspections Division
160aP.O. Box 580 281 N. College Ave.
Building valuation $1,000.00
Fort Collins, CO 80522-0580 80018381
c;trorF�Y phone (970) 221-6760 Fax (970) 224-6134
ACCOUNT
FEE
DATE PAID
JOB
SIT' ADDRESS 1142 00EISLESTONECT NCO
PERMIT DATE l
B�dI";b1opefflawoMd"
'�
$1500
1
PERMIT
TYPE �1�Gas Gas UQ _ GGs U9fiU,
PERMIT LEVEL �U—FM
CATEGORY TYPE FESIDENnAL
Last Name, First, Middle Initial
Construction Type
Occupancy Group
ce
$"UP, GENEMEW C
Z
3
Address
1142 t%)BBLESTIONE CT
City / State
FORT COLLINS, CO
in No. of Stories
O
Building Height
O
Zip 0025-2M Phon%a�OO{R
LL"W
Building Square Footage Q
Stock Plan/Options _
Front Setback Rear
Setback
0
Z_
Right Side Setback Left Side Setback
Z
• •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUDFiling
GL LG3
_
Q
wLot
Block Lot Area D Parcel Ns.•n.•'�8
Name Conirector License No. OO ����i1V7OO NN
OCompany
Address
City/State
I—
OPhone
Supervisor Cert. No.
V
Electrical License No.
O
Mechanical
FRIENDLY FIRE, INC.
License No.
KION
Roofing
License No.
Z
0
Framing
License No.
m
Plumbing
License No.
N
INSTALL GAS LOGS AND GAS LINE
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 not inspected within 180 da s from the date of such permit or from the date of the last inspection.
a . �� , —" i n _ �) G p
name of owner/agent Signature Date
Tc�ral FEES
f1500
Print