HomeMy WebLinkAbout420 E PLUM ST - PERMITS - 11/29/2005Community Planning &Environmental Services BUILDING PERMITPERMIT FEES
Building & Inspections Division
P.O. Box 580 281 N. College Ave. Building Valuation
Fort Collins, CO 80522-0580 2 540.00
City of Fort Collins Phone (970) 221-6760 Fax (970) 224-6134 B0507017
ACCOUNT FEE DATE PAID
JOB SITE ADDRESS 420 EPLUM ST PERMIT DATE 11/29/2005 Building Penwitw/o Subs $15.O 11/29/05
PERMIT TYPE PERMIT LEVEL CATEGORY TYPE
FIREPL Fire Place - Wood Stove ISSU_FUL Residential
Last Name, First, Middle Initial Construction Type Occupancy Group
HOUSKA, JOHN C
Address City/State w
420 E PLUM ST FORT COLLINS, CO O No. of Stories Building Height
Zip Phone No. V Building Square Footage Stock Plan/Options
80524-3331
Front Setback Rear Setback
0
Z_ Right Side Setback Left Side Setback • • •
Z
0 Plat File No. ZBA Case Number Zoning District (See reverse side for Inspection Description)
Subdivision/PLID Filing S P I F P
Lot Block Lot Area Parcel No. O 9113216001
J
95 Companv Name I Contractor License No.
City/State
OPhone
Supervisor Cert. No.
V
Electrical
License No.
p[
CRoofing
Mechanical
License No.
License No.
Framing
License No.
O
V
Plumbing
License No.
m
h
Concrete
License No.
INSTALL WOOD STOVE INSERT INTO EXISTING FIREPLACE- LOPI ANSWER MODEL - EPA APPROVED
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 yQid if the work authorized by such permit is not
commenced, suspended, abandoned or inspected within 18Q daKs- the date of su/perit or.- a e f the last inspection.
&I
Pnnt na a Of owner/agent Signature -- Date TOTAL FEES $15.