HomeMy WebLinkAbout1318 Coulter St - Permits/Other - 09/26/2005Community Planning &Environmental Services Building & Inspections Division BUILDING PERMIT
imP.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580
CiiyofFort Collins phone (970) 221-6760 Fax (970) 224-6134 B0505611
ACCOUNT
JOB SITE ADDRESS 1318 COULTER ST PERMIT DATE n r
09/26/�OOJ Building Permit
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
FIREPL Fire Place - Wood Stove ISSU_FUL Residential; City Sales/Use T
Last Name First Middle Initial Construction Type Occupancy Group
W EI,"rate
i`NACHILLJ JARED P
Address City/State
1318 COULTER ST FORT COLLINS, CO
0 Zip 80524 Phone No. 443-0679
Z Right Side ;
Z
Plat File No.
Phone
ce mecnamc
0
Roofing
F
Z Framing
U
co
Rear Setback
Left Side Setback
Number
Lot Area
Contractor Licen:
City/State
tr Cert. No.
License No.
License No.
License No.
Zoning District
Parceo.
0 l N9701130015
p No. of Stories
0
Building Square
(See reverse
SPI
Plan/Options
x Inspection Description)
FP
=5 Plumbing License No.
N
Concrete License No.
INSTALL NEW WOODBURNING INSERT INTO EXISTING WOODBURNING FIREPLACE. EPA RATED REGENCY
HAMPTON (FPI) H1301. RELINE EXISTING METAL CHIMNEY WITH 6° STAINLESS FLEXIBLE TUBING
HOMEOWNERAFFIDAVIT ON FILE
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 o such permit or from the date of the last inspection.
Print name of owner/agent ature Of Date
$1,669.00
w/o Subs $15,0 9/26/05
ax 1 $25.0 9/26/05'
County Sales/Use Tax $6.6 9/26/05