HomeMy WebLinkAbout419 Spinnaker Ln - Permits - 10/12/2004ghCommunity Planning &Environmental Services B lJ l LD I N G PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
City of Port
Coffins phone (970) 221-6760 Fax (970) 224-6134 B Q 4 0 6 3 4 1
ACCOUNT PAID
JOB SITE ADDRESS 419 SPINNAKER LN PERMIT DATE
10/ 12/2004 Building Pernit w/o Subs $15.00 I0/12/04
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
GASLOG Gas Log - Gas Lighter ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
w CASE SAM
Z Address City/State p No. of Stories Building Height
3 419 SPINNAKER LN FORT COLLINS, CO 0
Zip 84526 Phone No. 222-1$03 Building Square Footage Stock Plan/Options
Front Setback Rear Setback ! ,
Z Right Side Setback Left Side Setback
tJ Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PLID Filing C L L C
Lot Block Lot Area Parcel No.
0 9736208080
rY Company Name Contractor License No,
License No.
W
Mechanical
License No.
0
Roofing
License No.
Framing
License No.
mPlumbing
License No.
N
INSTALL GAS LOG FIREPLACE (NOT INCLUDING GAS LINE ON THIS PERMIT)
As a c%t Mbn 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 incorrec or incomplete information. This permit shall become null and void if the w9rk authorized by such permit is not
commenced, suspended, aban oned Qr ' pected within 180 da a of such perml or from aOlste of a last inspection.
rint nam f owner/agentature Date