HomeMy WebLinkAbout3806 Granite Ct - Permits/Gas - Log, Line, Pipe - 02/28/2006Community Planning &Environmental Services BUILDING PERMIT ,
Building & Inspections Division
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 B0600823
ACCOUNT
JOB SITE ADDRESS 3806 GRANITE CT PERMIT DATE PERMIT TYPE QGn
�t-��f ��Ci� Building Permit W/o St
SLOG Gas Log - Gas Lighter PERMIT LEVEL ISSU FUL CATEGORY TYPE
Last Name, First, Middle Initial
Residenti
ROUBAL, MARTIN J/KAREN E Construction Type occupancy Group
W Address W
City/State inNo. of Stories
3806 GRANITE CT Building Height
FORT COLLINS, CO O
Zip 80526-3154 Phone No. V Building Square Footage I Stock Plan/Options
Front Setback Rear Setback
0 REQUIRED INSPECTIONS
_Z Right Side Setback Left Side Setback . •
Z
IV Plat File No. ZBA Case Number Zoning District TO SCHEDULE INSPECTIONS
Subdivision/PUD Filing
(See reverse side for Inspection Description)
C t t 0
Lot Block Lot Area Parcel No.
O Company Name 9735215034
Contractor License No.
Address City/State
H
Z Phone I Rnnnn i— rr=" ni..
ce
O
mecnanicai
License No.
17
FYRF PRO. INC
Roofing
License No.
F
ZZ
Framing
License No.
U
SO
Plumbing
License No.
to
Concrete
License No.
INSTALL A REGENCY P36 DEEP FIREBOX NATURAL GAS WITH 30 FEET OF GAS LINE
I —
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.
$4 000.00
FEE DATE PAIQ'
$15. 0 2/28/0
name of owner/agent Signature Date TOTAL FEES $`I