HomeMy WebLinkAbout1521 Front Nine Dr - Permits/Gas - Log, Line, Pipe - 03/23/2004Community 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 1521 FRONT NINE DR
PERMIT TYPE PERMIT
GASLOG Gas Log - Gas Lighter
Last Name, First, Middle Initial
� MCKENNY, PATRICIA L
Z Address City/State
3 1521 FRONT NINE DR FORT COLLINS, CO
Q) Zip Phone No.
8�525 204-9404
Front Setback Rear Setback
Z_ Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number
_ Subdivision/PUD
Q
w Lot Block Lot Area
J
Address I City/State
Phone
BUILDING PERMIT
Building Valuation
B0401537
ACCOUNT
PERMIT DATE p
L�1lf't Su 1!ulfi� f'eill�iv ri/U JU UJ
LEVEL CATEGORY TYPE
ISSU_FUL Residential City Sales/Use Tax
Construction Type Occupancy Group
Couol,y Saves/use lax
Wp No. of Stories Building Height
OBuilding Square Footage I Stock Plan/Options
Zoning District (See reverse side for Inspection Description)
Filing u L L v
d Parcel No. Q
U uWOJ38V !o
ag:
Mechanical
License No.
[,V ,nF0 C0MHEI
M ' I'D
Roofing
License No.
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Framing
License No.
0
U
co
Plumbing
License No.
D
N
Concrete
License No.
GAS LOG !NSERT, CONNECT TO EXISTING LINE WITH GAS FLEX
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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 day&jLom th f such permit or from the date of the last inspection.
Print name of owner/agent 1 ature Date TOTAL FEES
$338.00
FEE DATE PAID
$15.0 3/123/04
$5.0 3/23110-A
IJ (LJ!V't
$21.