HomeMy WebLinkAbout3200 Moore Ln - Permits/Gas - Log, Line, Pipe - 03/16/2012arof
t Collins
Site Address: 3200 MOORE LN
Job Valuation: $3,449.00 Category: Residential
Owner: KING RONALD DEAN/BARBARA L
3200 MOORE LN
FORT COLLINS, CO 80526-2140
Zoning: Front setback:
Rear setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1201290
Issued Full: 03/16/2012
Permit Type: Residential Gas Log
Phone: 970-223-9208
Right setback: . Left setback:
Minor Amend M Plat File M ZBA Case #:
Zoning district: UE - URBAN ESTATE DISTRICT
Legal: Subdivision/PUD: Filing M Lot #: Block #:
Code: Res sq ft: Com sq it: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: WESTERN FIREPLACE SUPPLY License #: FP-1815 Supervisor cert#:
1408 RIVERSIDE AVE
FORT COLLINS, CO 80524 Phone: 970-498-9679
SubcontractocLS Phone License Number
O �
Work Description: INSTALL HEAT & GLO ESCAPE 130FB'DI� ENT GA NIS 3ERT. RUN NEW GAS LINE FROWMEETTEE
TO FIREPLACE. WIRE 110 V OUTLET INTO FIREPLACE -
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.6om/CitizenAccess
**By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL LG
TOTAL FEES PAID AS OF 03/16/12: $25.00 Payment method: Cash
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners 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 associated with such work I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon. Monoxide Alarm required within 15 feet of each bedroom entrance.
Signature: Print Name: L b A-t.)J Date:
Form Revised Oct 2010