HomeMy WebLinkAbout2612 Dumire Ct - Permits/Gas - Log, Line, Pipe - 11/26/1991DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6769
mm 4ft
REAR
tyo BUILDING PERMIT
LEFT RIGHT
JOB SITE ADDRESS 2612 DUMIRE CT
F
Permit Type
work Type Cate ry Ty a
GAS LOG/GAS LIGHTER
NEW giNTLE FAMILY DETACHED
aProposed
Use
RESIDENTIAL
Use Zone Permit Level
FULL/FINAL ),
Subdivision PUD
Filing
Q
a
Subdivision/PUD
Building Valuation
550
J
FRONT
Lot
Block
Parcel
282-08-040
AC UN
�[ �;
L'AUDGE
First KEVIN
M.l.
PERMIT FLAT
15.00�0y
Lot Area
ZAdddress
CITY
CITY SALES USE' TA
- M #
pp911126
" •7� �
Plat File No.
City
3
2612 DUMIRE CT
FT COLLINS
State CO Zip 80526
Company Name
SUPERIOR PLUMBING/HVAC
Phone No.
Contractor License No.
S-185
Off St. Parking
4°
• •INSPECTIONS
Q
F
CALL 221-6769
Address
2665 EUGENE DR
City
LOVELAND
state
CO
ZO
TO SCHEDULE INSPECTIONS
Zip Phone Sales Tax No.
80537 667-6714 23836
(See reverse side for
Construction Type Occupancy Group Fire Sprinkler
Inspection Description)
GL LG
Building Square Footage No. of Stories
Bldg. Height „
15
cc
Occupant Load Occupancy Separation
Area Separation Fire Containment
3
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement Stock Plan
Options
LL
•-r --
O
Z
F
to a-se-tn r --
TINSTALLATION OF-RASMUSSEN- GAS LOG
trn`
s ,s u
ZBA
Case No.
BBA Case No.
Permit No. Permit
0913382 IdtEMBER 26, 1991
:� 4
• MAX"• -
Electrical
As a condi ion for the issuance of a permit, I hereby declare that I am
an owne� or the owner's agent, authorized to perform the proposed
'
work on the property described herein. I agree to comply with all the
requirements contained herein, and City ordinances, and State laws
Mechanical
associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information.
Plumbing
`
Signature
Date
ORIGINAL - FILE, BLUE - OFFICE, CANARY - SALESTAX, PINK - APPLICANT, TAG - FIELD
CARD