HomeMy WebLinkAbout4136 Sumter Sq - Permits/Mechanical - 10/04/2012City of
F6rt Collins
Site Address: 4136 SUMTER SQ
Job Valuation: $7,638.00 Category: Residential
Owner: HAYES WILLIAM STUART JR
4136 SUMTER SQ
FORT COLLINS, CO 80525-3462
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 #: B1205944
Issued Full: 10/04/2012
Permit Type: Residential Mechanical
Phone: 970-226-5150
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Code: Res sq ft:
# of stories:
Fire Sprklr:
Filing #: Lot #: Block #:
Corn sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: DC SHORTRIDG E DBA,GARY HOOLEY HTG & License #: H-1654 Supervisor cert#:
AIR f7
1314 WEBSTEWAVE� V�� �i Phone: 970-493-3272
FORT-COL-L-INIS,�CO__:80524��_�: % C-32720
Subcontractor(s) O License Number
Mechanical: DC SHORTRIOGE DBA GARY 'H-1654
O �
Work Description: REPLACE,FURN, ACE_A�ADD 4 TON AIR -CONDITIONER
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ins ections: GL FNM FNP FINE
TOTAL FEES PAID AS OF 10/04/12: $50.00 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owner's 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. NX
SWID OCT 10 4 201 �v
Signature:
Print Name:
Date:
Fonn Revised Oct 2010
F6rt Collins
Site Address: 4136 SUMTER SQ
Job Valuation: $7,638.00 Category: Residential
Transactions
Method Check Number Date Paid
Trust Account 10/04/2012
Receipt issued: 10/04/2012 Total Paid to Date
Fee Description Account Code
Permit Flat Fee w/o Subs $25 1000.422010
TOTAL FEES:
Amount Paid
$50.00
$50.00
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1205944
Issued Full: 10/04/2012
Permit Type: Residential Mechanical
Comments
ALBRACHT TRUST
Fee Amount Amount Paid Date Paid
$50.00 $50.00 10/04/2012
$60.00 $50.00
Amount Due
$0.00
$0.00
TOTAL BALANCE DUE AS OF 10/04/2012: 0.00
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Fee Amounts are valid for date of this document only. Fees subject to change without notice.