HomeMy WebLinkAbout3263 Kingfisher Ct - Permits/Gas - Log, Line, Pipe - 11/18/2005Community 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 3263 KINGFISHER CT
PERMIT TYPE PERT
GASLOG Gas Log - Gas Lighter
Last Name, First, Middle Initial
GALBATE, TODD XCHRISTINE L
Z Address City/State
3 3263 KINGFISHER CT FORT COLLINS, t
� Zip �28 Phone No.
226-3360
BUILDING PERMIT PERMIT
Building Valuation
B0506887 2600.00
ACCOUNT 1 i E DATE PAID
PERMIT DATE
1 1/ 1S/2005 78uildingrltit w/o Sub $15. 0 11/18/0
EVELpConstrruction
CATEGORY TYPE ResidentiUse Tax $39. 0 11/18/0
Occupancy Group
es/Use Tax $10. 0 11 / 18/0
Building Height
Building Square Footage Stock Plan/Options
0 i
REQUIRED
Z Right Side Setback
Left Side Setback
6 1
CALL 221-6769
Plat File No.
TO SCHEDULE INSPECTIONS
ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Gt LC
Subdivision/PUD
Filing
Lot
Block
Lot Area
Parcel No.
8609211012
O Company Name Contractor License No.
Address
City/State
H
Z Phone Supervisor Cert. No.
V
Electrical
License No.
O Mechanical
License No.
F Roofing
License No.
O Framing
License No.
V
� Plumbing
License No.
Concrete
License No.
OWNER TO INSTALL GAS LOG FIREPLACE ON PATIO AND WILL RUN NEW GAS LINE TO FIREPLACE PER
2003 IPC.
8
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 d of such permit or from the date of the last inspection.
Print name of owner/agent S' r ature Date `S