HomeMy WebLinkAbout719 Benthaven Ct - Permits/Gas - Log, Line, Pipe - 11/19/2004Community Planning & Environmental Services
Building & Inspections Division
P.O. Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
Cityoft?ortCdllins phone (970) 221-6760 Fax (970) 224-6134
SITE ADDRESS
W
w Address
0Z,7
_G Rlght Side E
Z
iZ4 Plat File No.
Q� meenan
Roofing
Framing
V
00 Plumbing
N
nx �c� - uas u8n>;er
late
FORT
Phone No.
%-
Rear Setback
Left Side Setback
ZBA Case Number Zoning Di.,
Filing
Block Lot Area Parcel No.
d
Contractor License No.
City/State
Supervisor Cert. No. COIGRA00 SPRINGS
License No.
License No.
License No.
License No.
BUILDING PERMIT
Building Valuation
B040 r 096 ac 0ut tir
1 0 4 Bu i
PERMIT LEVEL I CATEGORY TYPE
ISSU FUL Residential
Construction Type Occupancy Group
w No. of Stories Building Height
S
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection
CL LC
INSTALL HEAT-N-GLO 6000 TFM GAS DIRECT VENT FIREPLACE AND GAS LINE
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 under and that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and v " the work authorized by such permit is not
commenced, suspended, abandoned r inspected within 18� m to to of such pe ate of the last inspection.
Print na e f owner/agent Si a Dat
15.01 11/19/04