HomeMy WebLinkAbout912 PIONEER AVE - PERMITS - 1/22/2001Planning &Environmental Services BUILDING PERMITPERMIT
FEES
Building &Inspections Division
ghCommunity
P.O. Box 580 281 N. College Ave.
Building Valuation
Fort Collins, CO 80522-0580
$� 600.00
City of Fort Collins
Phone (970) 221-6760 Fax (970) 224-6134 8ia1
JOB
SITE ADDRESS 912 PIONEER AVE
PERMIT DATE 01/22/2001
Building Permit w/o Sobs
$15.0
1I22/01
PERMITTYPE
GASLOG Gas Log - Gas Lighter
PERMIT LEVEL ISSV—FUL
CATEGORY TYPE RESIDENTIAL
Last Name, First, Middle Initial
HOLNQUIST- JOHNSON, HELEN
Construction Type
Occupancy Group
Z
3
Address
912 PIONEER AVE
City / Stat
FORT COLLINS, CO
p No. of Stories
o
U
Building Height
Zip80521-3523 Phone
No. 493-2366
Building Square Footage StockPlan/Options
Front Setback Rear
Setback
! 01 •
Z_
Right Side Setback Left Side Setback
Z
• 1 •
Plat File No. ZBA Case Number Zoning District
(See reverse side for Inspection Description)
Subdivision/PUD Filing
OL L0
Q
J
t,
" at '•
Lot BlockLot Area Parcel No. 9714209016
Name Contractor License No.
OCompany
Address
City/State.:
F
Z
Phone Supervisor Cert. No.
V
Electrical License No.
ce
oMechanical
License No.
Roofing
License No.
0
Framing
License No.
co
Plumbing
License No.
t=i>
INSTALL GAS LINE AND GAS FIREPLACE INSERT
INSTALLED BY HOMEOWNER - AFFIDAVIT ON FILE
57<
As
a condition for the issuance of a permit, 1 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 not inspected within 180 days from the date of suc mit or from the date of the last inspection.
'name of owner/agent Signature Dam
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