HomeMy WebLinkAbout4105 Sumter Sq - Permits/Furnace - 12/12/2016F6rt Collins
Site Address: 4105 SUMTER SQ
Job Valuation: $4,528.00 Category: Residential
Owner: CHURCHILLTERRYANN
4105 SUMTER SQ
FORT COLLINS. CO 80525-3463
Zoning: Frontsetback:
Rear setback:
ty Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -.fax
Building Permit #: B1607410
Issued Full: 12/12/2016
Permit Type: Residential Mechanical
Phone:970-226-3166
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 #:
Com sq ft: Ind sq ft: Basement sq ft:
Occ Group: Const Type:
Stock plan #: Stock plan options:
Contractor: ALLEN PLUMBING -&-HEATING 101 SLINK AVELicense #: H-871 Supervisor cert #: 2686-H
R% ,
FORT COLLINS, CO 80521 Phone: 970-494-7610
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Subcontractor( \' ical: ALLEN PLUMBING & HEATING M7 494-7610
O CO
Work Description: Remove existing furnace and install new -furnace.
License Number
H-871
II SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 *** By Web: http://www.fcgov.com/CitizenAccess II
***By Mobile Device: http://www.fcgov.com/CitizenAccess/mobile
Insoections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 12/12/16: $126.88 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby dedare 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 assodated 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 Ithe 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:
Date:
Forth Revised Oct 2010
rfCollins
Site Address: 4105 SUMTER SQ
Job Valuation: $4,528.00 Category: Residential
Transactions
Trust Account 12/12/2016 $126.88
Receipt issued: 12/12/2016 Total Paid to Date: $126.88
Fee Description Account Code Fee Amount
City Sales/Use Tax 251.122030 $87.16
County Sales/Use Tax 100.217030 $14.72
Permit Flat Fee w/o Subs $25 1000.422010 $25.00
TOTAL FEES:
unity Ueve(opment & Neignbornood b'ervtces
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit#: B1607410
Issued Full: 12/12/2016
Permit Type: Residential Mechanical
Comments
Amount Paid Date Paid Amount Due
$87.16 12/12/2016 $0.00
$14.72 12/12/2016 $0.00
$25.00 12/12/2016 $0.00
$126.88 $126.88
$0.00
TOTAL BALANCE DUE AS OF 12/1212016: 0. 00
i
Fee Amounts are valid for date of this document only. Fees subject to change without notice.
Form Revised Oct 2010